Loading...
HomeMy WebLinkAboutPermit Permanent Sign SN-09-24 - BENNIESJ Permit Number SN- 0 - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OV�NER OF RECORD (Name as shown on deed, mailing address, phone and fax #) (o5- 2) APPLICANT (Name, mailing address, phone and fax (oz 0)4�-�; L45-6 tR- 3) SIGN LOCATION (include business name, address, & phone #): �¢.�n,.�: ems � - l ;t �-4F.•Qw. A-I(,e.�. �- 5„ 1� . _ 4) TAX PARCEL ID # (can be obtained at Assessor's Office) C` qt- ocoC7ll d0©Olo 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 1_7`wA_ C..,_44R_r (10Z )1t!`r C-5 Ito 3 7) DATE OF ERECTION (OQ 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as anel or cut-out letter) SIZE (in sq. ft.): g S 4- 2. OVERALL HEIGHT: `t SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: r4vi a: H scaiea rendering or eacn proposed sign must be su0nutted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN F 10) Applicant Signature: 11) Signature of Land/Building Owner: VAL (ifagplicable) Date: 576 (O` //) Date: d-- ••*000*00 00000t0*000 0���• Do not write below this line � d_7 Fee: _ ication: ed prove Code Officer Signature: Date: y vac 3 o ,pe ,-, % 41 Permit Number SN- - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) APPLICANT (Name, mailing address, phone and fax #) 3) SIGN LOCATION (include business name, address, & phone #): 4) TAX PARCEL ID # (can be obtained at Assessor's Office)_ 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION 81 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter FREE-STANDING SIGN 1 SIZE (in sq. ft.): 2. OVERALL HEIGHT: SIG ABLE WALL AREA (in s TYPE OF ILLUMINATION: a�atcu i vnuunng uL eacn noting the dimensions of each si 9) DATE OF DESIGN RE E' 10) Applicant Signature: 11) Signature of Land/Building must be submitted illustrating the color of the sign and Date: Date: ........................................................................... Do not write elow this line .............................................................................. Fee: Application: Rejected Approved Code Officer Signature: Date: