HomeMy WebLinkAboutPermit Permanent Sign SN-08-37 - LAKEWOOD COMMONS07/03/2008 THU 8:12 FAX
0001/001
Permit Number SN- 68
City of South Burlington, Vermont
Application for Pernnanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing
2) APPLICANT (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
� _ . 01XXxt_ 11 �VICIf - 1 --3 � Sho i hi in r t i
7) DATE OF ERECTION 5Z t 2( Qa
8) SIGN DATA
('01
and fax
mrnons;
WALL SGNS (list size in sq. ft., illumination, &type
FREE-STANDING SIGN
-has ran'eI or cut-out [otter
G( c
uffL
1
SIZE (in sq. ft.):
L40
2•
OVERALL HEIGHT:
,Ij
SIGNABLE WALL AREA (in sq. ft.):
TYP ' OF ILLUMINATION•
F
u IggavIL
INQ I E: A scaled rendering of each proposed sign must be submits Ilustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN RE IEW APPROVAL (if applicable):
10) Applicant Signature, I PA I Date:
11) Signature of Land/Building Owner: \c-��ci�l � Date: �0 — l ` C>K
.••••••••0.00000.00000000••••••••1•••••••••••••••••••.••••••009000•00•00000000
Do not write below this line
•••••••••.•.•i•.•.•.•.•.•.•.•.••••••••••••••••••••••so* •••••••••••••••••!•••••
Fee: pl cation: c
Code Officer Signature:
E:)ved
Date: 6
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