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Permit Permanent Sign SN-08-29 - 10 FARREL ST
Permit Number SN _d/� _ � q City of South Burlington, Vermont Application for Permanent Sign Permit x 1) OWNER OF RECORD( �-f 2) APPLICANT (Name, ma PC - 90 )(" (Y5`-70 , as shown on deed, m�aa/iling address, phonebl a4�d fax r-Z)L1-IV address, phone and fax #) �% . ��141J . A<- 0 5115 / 0� E- ' r /—r' v G1' . —I I I If — r r 3) SIGN LOCATION (include business name, address, & phone ft /0 �/� ��1-L �71- f w °�,� __61� ic,r�!_���' . Orn� 'Afo:r 4) TAX PARCEL ID # (can be obtained at Assessor's Office)_ 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION ri 8) SIGN DATA WALL SIGNS (list size in sq. t_, illumination, & type,FREE-STANDING such as panel or cut-out lettFrg — SIGN ^j 1 SIZE (in sq ft.):/ 2. OVERALL HEIGHT: & SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUrATIO. : I 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 REV APPRO AL (if applicable): 10) Applicant Signatur Date: 11) Signature of Land/But ding Owner:'fl 3�jDate:! 000soeooeeeeeoseoeeoeoeeeeeeeeeoe••eeeaeeeeeeees•eeeeeeeseeeeoeee00000eeeeeoem Do not write below this line 000eoeeeeeeeseoesesoeseoeeeeeeeeeeeeoeoeeeeeo•ooee0000e®®e•eeeeeeee0000eooeoee �i Fee: zv_ ctpprov vb Code Officer Signature: Date: D" square n trusses side view KLINGER'S B/1KERY CAA • Cg pi Pomerleau Real Estate 10 Farrell Street 802-872-9906 Freestanding Street Sign ©2008 designsignsvt.com April 24, 2008