HomeMy WebLinkAboutPermit Permanent Sign SN-09-53 - DORSET ST DERMATOLOGYPermit Number SN-�_T�
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 #)
24 V oyi'tf rsti`�-�.� . �a rl ��+�_y T 01%f a'3
3) SIGN LOCATION (include business name, address, & phone #): Derrct s00-u-t Dcrvn.L-��f, r
-ete T__.KSe o - ff'8-08
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0s 70 — 00 33 23-
5) SIpGN ERECTOR (Name, mailing address, phone and fax #): Glatl'e✓
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7) DATE OF ERECTION v �riT•t �S '1-�ni thCcp,
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1. �
SIZE (in sq. ft.):
44,
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): �0
TYPE OF ILLUMINATION:
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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): U 2- 6 2opq
01
1 U) Applicant Signature: ' Date: [ 6 - 2 - TO-1
11) Signature of Land/Building Owner: JrAAma
a_ Date: [o - L - 2ooq
Do not write below this line
Fee: 1 pplication: Rejected Ap ro
Code Officer Signature: Date: ��
84" to
ground level
Color. White Dove (Ben. Moore)
M
48`
Dorset Street Dermatology
180 Flynn Ave. Ste. 5, Burlington, Vt. 05401-5482 802-862-1060 hglaeserco@aol.com
Copper clad
Recess carved
or dimensional lettering
copper metallic color
Recess carved
or dimensional lettering
Color:White Dove (Ben. Moore)
Copper strip or copper metallic color
6"x 6" P.T. posts
Color: White Dove (Ben.Moore)
7/16/09
Dimensional letterinc
(-)! recess carved -
Frame with molding
301'
e
Dorset Street Dermatology, Wall Mounted by Building Entrance 7/16/09
180 Flynn Ave. Ste.5, Burlington, Vt. 05401-5482 802-862-1060 hglaeserco@aol.com
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Legend
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Brookwood Drive
LLEWELLYN - HOWLEY 25 Dorset Street
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Site Plan
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