HomeMy WebLinkAboutPermit Permanent Sign SN-10-35 - PRIORITY AUTOPermit Number SN-JD_7 3
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 #) „✓ �'`
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3) SIGN LOCATION (include business name;address & phone4146
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) O 2 0 0 — 0000
5) SIGN ERECTOR (Name, mailing address, phone and fax
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7) DATE OF ERECTION ,� yy]] p >>!!t v 1-t
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. :
2 so •C� r 3,9y s�-C-E-
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OVERALL IGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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
10) Applicant Signature:
11) Signature of Land/BL
Date:
Date: 2c I Lo
..............................................................................
Do not write below this line
Fee: "Application:d ApprovedCode Officer SignaturDate: `
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PRIORITYAUTO, INC. �• ,, ,,
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