HomeMy WebLinkAboutPermit Permanent Sign SN-10-19 - SHELL1)
2)
Permit Number SN-� -
City of South Burlington, Vermont
Application for Permanent Sign Permit
OF RECORD (Name as shown on deed, mailing address, phone and fax #)
�'WV-74'1/sue L C� B.c�G� 464- y4 4535
T (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone
!2 1L.c---
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): aCi.�CyL�Cfe�C'�
7) DATE OF ERECTION
8) SIGN DATA ;['l S T, _$Avs7 ,r, , r i_
WALL SIGNS (list size in sq. ft., illumination, & type
/z qf� CL
FREE-STANDING SIGN
such as panel or cut-out letter)
_ A,.(- rr
1Lure;-:)
SIZE (in sq. ft.):
2. P " �Ct Ci ale
OVERALL HEIGHT:
SIGNABLE WALLAREA (in sq. ft.)�50111119:
TYPE OF ILLUMINATION:
NOTE: A scaled rend- 'nf h
ng o eac proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIE APPROVAL (if applicable):
10) Applicant Signature: (i�. C Date:
11) Signature of Land/Building Owner: d � . Date:
Do not write below this line
••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
s�
Fee:
Code Officer Signature
A tion: je d 6'ro-VIC-d
Date:
No Text