HomeMy WebLinkAboutPermit Permanent Sign SN-09-13 - ORDER OF EAGLESPermit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
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O�WNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SJ�G)jT C C��,I,Q�N (mcJWe business name, address, & phone #):a � !/
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, hone and fax #):
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7) DATE OF FRECTION _TO W v `�_.)'' 10 7 uo') f /-
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
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SIZE (in sq. ft.):
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OVERALL HEIGHT: /� I
SIGNABLE WALL AREA. (in sq. ft.):
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TYPE OF ILL ATION:
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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: :3 ?i o
11) Signature of Land/Building Owner: ``--.� Date: 3 2110 i
Do not write below this line
Fee: Vf- A lication: Rejected Lpprove
Code Officer Signature: Date:
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