HomeMy WebLinkAboutPermit Permanent Sign SN-09-09 - CHITTENDENJ
Permit Number SN-1-- V
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) YTLICANT (Name, mailingAd(j�ejs, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone ft
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, In 'Img address, phone and fax #):
7) DATE OF ERECTION /146oz? _t
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq.
X �'.
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OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be submitte illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW OVAL (if applicable
10) Applicant Signature: Date: Z
11) Signature of Land/Building Owner: �/'�i"iGS_ a7:
Do not write below this line
Fee: d Application: Rejected 6�;
Code Officer Signature: <
gn Date:
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