HomeMy WebLinkAboutPermit Permanent Sign SN-10-52 - CHILDHOOD HUNGER1 Permit Number SN-y -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
S. KT�M ��lleiL�� Jrr car k-sCjc , LLL P. (D is- vx 4-z-I ,
1�U2 L i JCD Tz� VT 5�/U 2 - �� •/z / c�U 2 - F1, 3 - 4S 'f I �%on e
firv2-8�5- �isj f—x
2) APPLICANT (Name, mailing address, phone and fax #)
Lldr -
t -
f)bZ- `Eb5- ca-(pC.Q
3) SIGN LOCATION (include business name, address, & phone #):
c� i �2-$Cod= b25�5
4) TAX PARCEL YD # (can be obtained at Assessor's Office) t L-70 - 00exocp .
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
lI
!UZ-`L3 CoZ33 1C
7) DATE OF ERECTION Auc us-r 2o►n
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
L 17. 8tv SF PAue I- 5Ir, �J
SIZE (in sq. ):
ND JLL17QAJq
2.
OVERALL HEI
SIGNABLE WALL AREA (in sq. ft.):
TYPE ILLUMINATION:
la' x -71C = S' ;3 Sr- X �5% ,' HH Li rNaxsicn
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 ROVAL (if applicable):
10) Applicant Signature: Date: 0
11) Signature of Land/Building Ownjer: Date: � � 18 ho
,Oliti), E e- ti -5
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Do not write below this line
00000000*0000000000000000000000000000000000000*00000*0*000000000000000000*00*0
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Fee:Application: e'ected Cpp-�r—ov
Code Officer Signature: Date:
0&�/o
W13/4" thick
Vermont Campaign to End Childhood Hunger 1275.
.tall
88 inches tong