HomeMy WebLinkAboutPermit Permanent Sign SN-09-40 - PERKINS FITNESSPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF iRECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) C A rt o" N e 1PC ;TZ � 0 S
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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)
1
SIZE (in sq. ft.):
/-/- 07—r 72 /r>Lhts
2
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE
. A scaled rendenng 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 PROVAL (if applicable
10) Applicant Signature: Date:
11) Signature of Land/Building Owne Date: KI:40
Do not write below this line
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Code Officer Signature: Date:
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