HomeMy WebLinkAboutPermit Permanent Sign SN-10-53 - MAPLEFIELDS` Permit Number SN-_p- J ,�
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RE ORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address hone and fax #)
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3) SIGN LOCATION in Jude business nam , a dyes ., & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN RF,C OR (Name, mailin addrfss, phone aid fax #): k V g I e,,,�vr
7) DATE OF F,RECTION Sc p Pw�r r zl/n
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE- T DING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.):
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2. Z z
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ALL I OVERGHT:
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SIGNABLE WALL AREA (in sq. ft.):
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TYPE F ILL ATION:
NUTS: A scaled rendering of eac"roposed 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):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: Date:
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Do not write below this tine
Fee: A lication: ejected*_Rroyze
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Code Officer Signature: Date:
1801
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