HomeMy WebLinkAboutPermit Permanent Sign SN-10-28 - CRATE ESCAPE TOOPermit Number SN-�-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shgwn on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, m fling ddress, phone and fax #)
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3) SIGN LOCATION (' elude business name, address, & phone #): �Q �U�
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) % (J 0 `J
5) SIGN ERECTOR (Name, mailing address, phone and fax
7) DATE OF ERECTION % 3 C)
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1.
SIZE (in sq. ft.): {
2.
OVERALL HEIGHT:
15
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 REV �iAPPR=Vflicable):
10) Applicant Signature: Date: 3 d
11) Signature of Land/Building Owner: Date:
Do not write below this line
Fee: placation: Re' ted ppr
Code Officer Signature: Date: r G"
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