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HomeMy WebLinkAboutPermit Permanent Sign SN-10-03 - WATERFRONT VIDEOPermit Number SN- w Q ?j City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) ze n � f i ' 0 - ©.t._ 2) APPLICANT (Name, mailing address, phone and fax #) 3) SIGN LOCATION (include business name, address, & phone #): �7 C7 s A k /f2 "efr/i / C/ 4) TAX PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR ame, mailing address, phone and fax ft 7) DATE OF ERECTION �/ yq/—/ 8) SIGN DATA P,c,/%.�,� r j , WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 1 • � J� �/ All SIZE (in sq. ft.): 2• OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: - -- - -- b �- ���-• r=�r���u �_ = --LUOL VG buuu,iucu musuanng ine color or the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW AP R AL (if applicable): 10) Applicant Signature: `� Date:, 11) Signature of Land/BuildingOwn 6�'� - Z / 7 ",e Date: Do not write below this line Fee: Ap ' ion: Rejected roved 1 Code Officer Signature: Date: J !� u 1� J cioc bti�c,k wood sA r 1 ` • 1.1 3 3 1 i rayh c A ,)�7- � p�