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HomeMy WebLinkAboutPermit Permanent Sign SN-08-04 - DESIGN MATTERS14:27 19027645905 SAMWIFL 5IGhi CONPa4Y PAGE 02/02 Perms Number SNy- m City of South Burlington, Vermont Application for Permanent Sign Permit I) OWNER OF RECORD (Name as shown on deed. mailing address, plione and fax #) 2) APPUCAN'T (Name, mailing address, Phone mid fax +,c�j, f X �LirvC r70 Rl VT 3) SIGN LOCATTON (includ« businoss name, address, & phone #): 47 4) TAX PARCEL ID 4 (can be obtained at Assessor's Office) 5) SIGN ERECTUR (Narnc, mailing address, phone and fax 9): 7) DATE OF ERECTION __.------- - _ —_ _8) SIGN DAM -. WALL. SIGNS oiaa aim: to >q. ft., iiixtimation, a type tF", E-STANDING SIGN such aK anol or cu-out h:Lwr) l_.. t....�SIZE (in sq. R_a: �G i 2 ----1� ; OVERALL HEIGHT: 'SIGNAKE WALL. ,AREA (in sq. tt.): � � TYPE Of U JMINATION: NQTF' 1 widcd rrrdcring of each purposed sign rra•v be wbmltuxi (11ustrating the co?or orthn s!Pi "d r "'T/4c AAA /1 noting the dimcrwions oCmch,ign. 9) DATE OF DESIGN REVIEW APPROVAL, (if applicable): 1 Q) Applicant Signature +^ �, a Date: l I I) Si6piatura of Urid)'Building Owner: �iM•M��!!!•r�����i�������lM!lflff�rlA��A*i!N!I!!!\ii}!O!!!!!llyN�ll�/•«lL+lr! Do not write below this line �rtrr• rr�rM�A'-�`r�rrr r�rrrrrKrN rr r r• sr r rrr�Mrr+rrrN •r•r r•rMr*�rrrr►rrrr rr• W Fee: pI) ation; Itejes e r proved Cote Officer Signature; �, Date: 1 • T SAMMEL C6 S•I•G•N CpMPAN4 95 Chapin Road * Essex Junction •Vermont•05452 T(802) 879-3360 F (802) 764-5905 Copyright© 2007 Sammel Sign Company All Rights Reserved