HomeMy WebLinkAboutPermit Permanent Sign SN-10-45 - GO MOBILE VERMONTPermit Number SN-/0 �5'_
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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 #) Cn N tic
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3) SIGN LOCATION (include business name, address, & phone ft Cr o rh o b i 1 -0--
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): v r �r r-� ✓.� S w ,�
L/Q c.-r -tom (Q u i A t !e
7) DATE OF ERECTION A S cA r"'
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
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SIG LE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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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):
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10) Applicant Signature: M %C L, S ( Date: < DO 1 Q
11) Signature of Land/Building Owner:
Do not write below this tine
Fee: lication: Rejected rov
Code Officer Signature: Date:
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