HomeMy WebLinkAboutPermit Permanent Sign SN-08-07 - MBA HEALTH GROUPPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) T ?G o 16T (
611
2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone ft 1M.13 lei 55 Cam- -i -- ul^ �
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
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7) DATE OF ERECTION 11 t log
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. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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 REVIEW APPROVAL (if applicable):
x
10) Applicant Signature: v Date: Q
11) Signature of Land/Building Owner:,, Date:
Do not write below this line
FCC: K/ Applica on: Rejected (proved
CodeOfficer ' t 6�
Signature: Date:
Mba heaithgroup