HomeMy WebLinkAboutPermit Permanent Sign SN-08-17 - BOURNE'Si 6�1 - LA* Apw- s
Permit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWN R OF gECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)-/iceLu>7y�
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3) SIGN LOCATION (include bus' ess name, address, & phone #):vv+�.S"erg
4) TAX PARCEL ID # (can be obtained at Assessor's Office) / xe -. o Wyl
5) SIGN ERECTOR (Name, mailing address, phone and fax
7) DATE OF ERECTION
8) SIGN DATA Zk".p
WALL SIGNS (list size in sq. ft., illumination, & type '
FREE-STANDING SIGN
such as panel or cut-out letter)
1 ! 6 (7'
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALLAREA (in sq. ft.):
TYPE OF LUMINATION:
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- --111JAu 111UbL1dL111g Cne color oI Ine sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIE AP P OVA f applicable):
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10) Applicant Signature: Date:/u
11) Signature of Land/Building O
Do not write below this line
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Date: ?2. �`��
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Fee: �J Ap ' ation: Rejected pprove
2 �v
Code Officer Signature: Date: �/ dS
92.5"w x 46.5"h one-sided facade sign (30 sq. ft.)
DiBond background
Premium vinyl lettering
S p,MM�L
ca S•I -G -N
COMPANY -.
95 C' _) 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 (c) 2008 Sammel Sign Company
All Rights Reserved Approval Signature Date