HomeMy WebLinkAboutPermit Permanent Sign SN-10-60 - C. DENNIS HILL ESQ.v
Permit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, hone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
a7-00-7y :f&_X 96R-5-700
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax # : ? /3
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7) DATE OF ERECTION u e i r p ( AA o� 't��V�A ,pp v� N., ��' ,�, y
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
I. SIZE (in sq. ft.):
ECG
2' OVERALL HEIGHT:
f15:4
SIGNABLE WALL AREA (in sq. ft.)-. TYPE OF ILLUMINATION:
Po si e
NOTE: 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 APPROVAL (if applicable): r /�
10) Applicant Signature: -J r 0
at
11) Signature of Land/Building Owner: � te: U
Do not write below this line
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Fee: ApRlica ion: Rejected pprove
Code Officer Signature:
Date: /� L149
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