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HomeMy WebLinkAboutPermit Permanent Sign SN-08-18 - CCCS NH VTPermit Number SN- 0 3 - 6 " City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) �/�!� y � l✓P:z r' ,� z.v.�Z `�� �1 �/P3 % �.4'''q�'t 3"J • /ri � d a � �trs� s�vF Cr? �i[' 2) APPLICANT (Name, mailing address, phone and fax 3) SIGN LOCATION (include business name, address, & phone #): <7CS IrT s� S`v A-rt"i�j LT WZ E,4y-6���0 4) TAX PARCEL ID # (can be obtained at Assessor's Office) / 706 'CCC31 5) SIGN ERECTOR (Name, mailing address, phone and fax ft �,y�r"2 pr-I12c1Y,, 0ia, 7) DATE OF ERECTION GJ ` I At) 8) SIGN DATA C- -'s WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter 1 • 3 / X 3 / / �, , �� l SIZE (in sq. ft.): 2• OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: ?� AH • Mr)lrFA � .,t-a „r, ■i aL uc ,uull,lucu mustraung the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIE 10) Applicant Signature 11) Signature of Land/Building Owner: AL �f applicable): Date: j /G`t Date: Pvkrl Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Fee: T-� on: R ' ted pproved Code Officer Signature: Date: "cation- : ✓ �� `�-' 54"w x 24"h one-sided facade sign (9 sq. ft) 3mm Dibond background Premium vinyl lettering S AMM.L C6` S•I•G•N CCMPAO 95 C j Road • Essex Junction • Vermont 05452 T(802) 879-3360 F (802) 764-5905 I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the product design (excluding customer -supplied logo) is the property of Sammel Sign Company and may not be reproduced without written permission. Copyright©2008 Sammel Sign Company All Rights Reserved Approval Signature Date