HomeMy WebLinkAboutPermit Permanent Sign SN-10-04 - US POST OFFICEPermit Number SN- /0 - —=
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 (include business name, address, & phone #):
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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
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
SIZE (in sq. ft.):
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: 1"^ Date:
11) Signature of Land/Building Owner L ate: > d..2 le)
Do not write below this line
Fee: A ication: % �ejected pprove
Code Officer Signature: V V�vc-\, Date: �� /U
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