HomeMy WebLinkAboutPermit Permanent Sign SN-09-16 - CHAMPLAIN VALLEY HARDSCAPESPermit 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 #)
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2) APPLICANT (Nia'mel,I maillin address, phone and faxes#.)�!' l rJ 14 CJ _ �66- '7b6G 660-- �rh7
3) SIGN LOCATION (inel de business name, address, & phone #): t'�c w�« °.,V•.�1•�. �*^m'rca�e cs
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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 -p y (dr: CA_s IN- 41� l
8) SIGN DATA
WALL SIGNS (list size in sq. ft., ill ation, & type
FREE-STANDING SIGN
such as panel or cut-out letter OA
_247.6
SIZE (in sq. ft.):
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in
sq. ft.):
TYPE OF ILLUMINATION:
ITl1TT?. A
--1— A suaieu renaenng 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: - Ci q
11) Signature of Lan ding Own r: Date: ytj
•••.•..•..••...•••••••...•••...•• •..• .... •...••••••..••• ...........
Do not write below this line
Fee: Application: Rejected LAppr;ov
Code Officer Signature: Date:qIJ /61,
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