HomeMy WebLinkAboutPermit Permanent Sign SN-09-18 - PROJECT GRAPHICSPermit Number SN- Oq -1�
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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!Rol. GSCk,go" �F6k1(. gOZ, 45'g,i00j, CSS7-21Y�
2) APPLICANT (Name, mailing address, phone and fax #)
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24L4, Is5'Y, 12t.0 ; r•ccr, . 9C4,,•79$. 14tr
3) SIGN LOCATION (include business name, address, & phone #):
-1 Mec,clvw+a..ci r"I S'. QyrIiA1-cry vr- cv C 3 �st�l.ly� S S?D.�0
4) TAX PARCEL ID # (can be obtained at Assessor's Office) " ( A
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
`+72. iMe_ .J vy1--A f>r•
7) DATE OF F,RECTION
AS4p
8 SIGN DATA 5 a v ct H& c Ind A
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
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is
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2.
OVER L HEIGH :
1D
SIGNABLE WALL AREA (in
sq. ft.):
TYPE OF ILLUMINATION:
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):
10) Applicant Signature: ���� Date: 4 1
l l) Signa a of Land/Building Owner: st•-4v. - Date:
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Do not write below this line
Fee: v Zlication: Rejected rov
Code Officer Signature: Date: 7 v
PROJECT
PROJECT