HomeMy WebLinkAboutPermit Permanent Sign SN-10-50 - TRIDYNEf
Permit Number SN- Ly> --5-O
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name ass own on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #) / r1
(AS (-�-1 4ut-
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3) SIGN LOCATION (include-n�bug�'mess name, address & phone #):
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go 2— 863 - b 73
4) TAX PARCEL ID # (can be obtained at Assessor's Office) OQ40 - 000!&0
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTION 5ZD t:1z al
8) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. 3 2- N 6o %r,
SIZE (in sq. ft.):
See �?�!� �
OVERALL HEIGHT:
2.
SIGNABr�LE WALLAREA (' sq. ft.):
TYPE OF ILLUMINATION:
.Nu 1 r.: A scaled rendering or 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):
10) Applicant Signature:
11) Signature of Land/Building Owner:
Date: l b
Date: (t
Do not write below this line
Fee: A lication: Rejected p rove
Code Officer Signature: `tiL Date:
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V,ifticlyinesh
Manufacturer of Packaging Machinery