HomeMy WebLinkAboutPermit Permanent Sign SN-10-07 - UNION JACK'SPermit Number SN-�-
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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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION(includebusiness name, addre s, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTION �Z
8) SIGN DATA U /Q -- ,oC
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panell or cut-out letter)
SIZE (in sq. ft.):
2• (� OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):, TYPE OF ILLUMINATION:
5'
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 APPRO (if a plicable):
10) Applicant Signature: f �'L_D e:
11) Signature of Land/Building Owner: Date: - d d -/ j
.............................................................................•
Do not write below this line
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Fee: A lication: Rejected epprove-.&I
Code Officer Signature: Date: � /v
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