HomeMy WebLinkAboutPermit Permanent Sign SN-10-23 - AIRPORT GROCERYPermit Number SN--1'-
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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21 APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 000 _d /a—? E
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
TG�,�. nlc, u n lion
7) DATE OF ERECTION
8) SIGN DATA /-�'/(� * h"7Wf T- e2 D
WALL SIGNS (list size in sq. ft., ll ination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
OVERALL HEIGH
2.
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 APPROVAL (if applicable):
10) Applicant Signature: Axewv _ " /i� ��? �% Date:1_71e7
11) Signature of Land/Building Owner�ol�19?l.? Date:
Do not write below this line
Fee: A ication: jejected pprove
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Code Officer Signature: Date: ,5
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