HomeMy WebLinkAboutPermit Permanent Sign SN-10-24 - PINESPermit Number SN-J"--y_
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OVER OF RECORD (Name as shown on deed, mailink address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) ems. Aja
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0 O 7
5) SIGN ERECTOR (Name, mailing address, phone and fax
A" 'b•s'a \A, 7. C- (
7) DATE OF ERECTION f/ Z 1 I I o
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.): 3 '
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION: MIN
/.TION:
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�. audieu renuc1119 ur eacn proposed sign must be submitted illustratiftg the color of th6 sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW ROVAL (i licable):
10) Applicant Signature: Date:
11) Signature ofLand/Building Owner: ,,<7ffDate: /a
........................c�a�.�::::..s�.0::a...4:.........................
Do not write below this line
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Fee: lication: jected A roved
Code Officer Signature: Date: �� ��
3/4 MDO Background with 1.25" Cedar frame.
6x6 pt posts primed and painted with fluting and ball finials.
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SIGN
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'r (802 87 41) -3,3(A)
F (SWi 764-500!;,
Copyright0200 Sammcl Sign Company
All Rights Reserved
I approve this artwork as submitted. I understand that any changes
or corrections after this approval is signed may result in additional
charges and I agree to those if necessary. I further understand that
the design is the property of Sammel Sign Company and may not
be reproduced without written permission.
Approval Signature
Date