HomeMy WebLinkAboutPermit Permanent Sign SN-09-25 - BARIATRIXApr 07 09 11:29a p.2
From:BARIATRIX 18028629306 04/06/2009 16:32 #476 P.0021002
Permit Numbcr SN- O + -__
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
60 e h I-1 I ha 1d irol ,,, C, P o -,5Dc 160 i ref, I -fan VT c�
2) APPLICANT (Name, mailing address, phone and fax #�1�
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3) SIGN LOCATION ( clude business name, address, & phone4:
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0040 - C.i2o LIE),
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION IV a.t,a- 1.3 . 200 q
81 SIGN DATA
WALL SIGNS (list size in sq_ ft., illumination, & typc
FREE-STANDING SIGN
such as panel or cut-out letter
1
SIZE (in sq.�.
11 �t� Air,. S,
2.
OVERA„ OVERALL GHT:
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SiGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
i.va— � b"Jcu ccuucuug ui eacn p uposea sign must De SUD01111ed 11ILStMfMg th"oloI Of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN
10) Applicant Signature,
11) Signature of Land/Building
APPROVAL (if applicable):
lb
Date:
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Code Officer Signature: Date:
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