HomeMy WebLinkAboutPermit Permanent Sign SN-10-42 - PRIORITY AUTOPermit Number SN- /0 -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OZ N OF RECOR (Name
2) APPLICANT (Name, mailing address,
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on defied, mailing address, phone and fax #)
and fax
3) S GN LOCATION (include business name, addres-
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name mailing address, phone and tax #):
7) DATE OF ERECTION
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter
1 q 3q- SIZE (in sq. ft.):
2. r: OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION:
100, x ao `
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):
10) Applicant Signature Date: ( 3 [ L�
11) Signature of Land/Building Owner: Date: H L
Do not write below this line
Fee: ---. Application: R jected pprov
Code Officer Signature: Date: O `�
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PRIORITY AU
COLLISION
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