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Permit Permanent Sign SN-10-37 - SHELL
Permit Number SN-�- City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) c—f/�I�7s��✓1/sue �e�C� �.� /.t1'1!� .- - AO,/- Y4- ©S 35 (F') 2) APPLICANT (Name, mailing address, phone and fax 3) SIGN LOCATION (include business name, address, & phone #):!�- dfLC. 4) TAX PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION—.'7 8) SIGN DATA E;(/S , Sle-"q _ C-e:>-� WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter jJ — _ luc, � ���.� C 1. '" / SIZE (in sq. ft.): 2. S'he(rc >v (rZU P,ei,J P 1 Oj..r�D GA f V OVERALL HEIGHT: 04*1 ,ft- ICE CA rz -r- 02l1,0? ISO SIGNABLE WALL,,,AREA (in sq. ft.): YPE OF ILLUMINATION: NOTF• A ccalaA ran iar nn Fv l _ � - - �-• 5 — u— Propose sign uius[ be submitted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIE APPROVAL (if applicable): 10) Applicant Signature: �/� / Date: 11) Signature of Land/Building Owner: C:. t`j� �y��, Date: Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Fee: Application: Rejected p r d Code Officer Signature: Date: -7 No Text