HomeMy WebLinkAboutPermit Permanent Sign SN-09-56 - NIGHTMARE VERMONTPermit Number SN--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER
-Oy—F RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICApNT (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) 06 7 6 0 0 7r
5) SIGN ERECTOR (Name, mailing address, phone and fax ft ��-
7) DATE OF ERECTION
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STM-1 DING SIGN
such as panel or cut-out letter
1 SIZE (in sq. ft.): 18
2• OVERALL HEIGHT.5.
SIGN.ABLE WALL AREA (in sq. AT),
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: Date: w Q�
11) Signature of Land/Building Owner: Date:
Do not write below this line
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Fee: Ap lication: jected ppro
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Code Officer Signature: Date: J%v
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