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HomeMy WebLinkAboutPermit Permanent Sign SN-09-21 - GIBNEY FAMILY VISION CTR.Permit Number SN- City of South Burlington, Vermont Application for Pennanent Sign Permit 1) OWNER OF RECORD (Name as shown Y 1i .- -nw . 1 A _ I e. , phone,and fax #) 3) SrN LOCATION (inglude business name, ddress, phone #):-to 0 t 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION vo.Aje56 � �q g) SIGN DATA MALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) 2. FLEE -STANDING SIGN SIZE (in sq. ft.): OVERALL HEIGHT: SIGNABLE WALL AREAin sq. ft. ): TYPE OF ILLUNUNATION: NUIL: 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: 1j1Date: —Idv v I 11) Signature ofLand/Building Ownelr:::�: Date: 'C,� i 00000000000em000®o©0000©o©ooeoo®©®o®000®®a000®0000m000©oeo©®000©000000000000©0 Do not emote below this Hine 00000000000©m000000000moo©o®oo®o®oo®000®ao®e®©ono®®000000000©o®000000000000000 Fee: Ap ation: ❑ ected �oved Code Officer Signature: Date: GIBNEY FAMILY VISION CENTER 4 C L0 GIBNEY FAMILY --- - - - --- -- - - - ----- ---119 in 10 inch Cast Aluminum Letters Stud mounted onto brick wall Overall size 25"H x 119"W = 20.7 sq ft WHOW THE WORLD Goes FOR SIGNS 3073 Williston Road South Burlington, VT