HomeMy WebLinkAboutPermit Permanent Sign SN-10-64 - SPILLANE'S SERVICE} Permit Number SN-�-
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City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax
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3) SIGN LOCATION (include business name, address, & phone ft liv &
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) O y 3,-- X00 r
5) SIGN ERECTOR (Name, mailing address, phone and fax #): >_P 1//f2cf Aelvw: f
7) DATE OF ERECTION b ZZ 3//G
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN f
such as panel or cut-out letter
1. -,
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL sq. ft.):.
TYPE OF ILLUMINATION:
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N U 1 h: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW AL applicable
10) Applicant Signature: Jate: Z /O
11) Signature of Land/Building Owner: Date: T 2- lQ
Do not write below this line
Fee: alp ication: Rejected
Code Officer Signature: Date:
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SF5VICENTER
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TAMARACK
SHORES
of ake Champlain
A Landscape Et Maintenance Co.
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