HomeMy WebLinkAboutPermit Permanent Sign SN-10-32 - MCFARLAND JOHNSONPermit Number SN-�- ✓
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Nape as shown on, deed, mailing address, phone and fax #)
Z) APPLICANT (Name, mailing Address, phone and fax #)
1 �-�� �� Sir � - 4 / - J/i
lGG' — - "G> yG.rr� ll
3) SIGN LOCATION (include usmes§ name, address_ &- nhr"i- 001,- d'l�'l0��l�/�Sr+'
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGNN ERECTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTION��1/J���j
NOTE: A scaled rendering of`eaZ proposed sign must be submitted illustrating -the Colo, of the -sign noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW
10) Applicant Signature:
AT. (if -N.
11) Signature of Land/Building Owner:
Date:
Do not write below this line
Fee: �� Application: ejected rove
Code Officer Signature: Date: G /�
24°
87"
1
McFarland- Johnson, Inc.