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HomeMy WebLinkAboutPermit Permanent Sign SN-08-95 - CATAMOUNT PHYSICAL THERAPY-_ -.Ur, narone Lonstruction Inc. 802-872-37OG p.4 12130/2808 10: 48 18027b45905 SAMMEL SIGN UUMI-ANY r1 oc ol/. Ui Permit Number SN- City of South Burlington, Vermont I Application for Permanent Sign Permit i 1) OWNER OF RECORD (Na a as shown on deed, mailing addre&sst�phone and f x #) L U �LY' LLe. �1� 2 APPLICANT � (Name, mailing address, phone and fax 3) SIGN LOCATION (i"Ondr business narne, address, & phone #): e,"MXN,t/ /D�0 fli�tr��,.ue h h:�t►l� _.��,__.���.�ir�[b7Zn/. ITT' prl : 46� �/- dL� 15 I 4) r AX FARGEL ID # (can be obtained at Assessor's Office) DR/,� D MJ` () 5) SIGN ERECTOR (Name, mailing addreas, P1300C Mid fax , YAw2in4-,z �S_6M (). 7) DATE OF ERECTION R) SIGN DATA WALL SIGNS (list size in sq. ft., ilturnjnation, & typc FIZZE-STANDING SIGN such a5 piLncl or cut-out letter) 1. S17.F, (in sq. ft.): S' �p /�3 "k v TbT 2. OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINA ON: NV t !:: A $Care(J rcnCcnng pl each prvposcd sign must be submaltec 111ustruttag the or nt the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): 10) Applicant Sigmature: ate: 1 1) Signature of Land/Building Owner: Date,,Z ♦.••••�•.� �••.• • ••►••••w�►�..• ww�w•••w•wwwwwwww Nw ••ww•Nw wwwww wwww�wwwwww-ww•• qo not write below this line ••w00,w100440w0ww*t**oo4vw40000o"o&*o*Qo0YQ•w0*•too got wOswww00*ww6*0000000*00ww• Fee: AP Iicatitm: e'ected �Pvrov Code Officer Signature_ C Date: / " I S AMM�L S-I*G�,N COMPANY , Road • Cssexjunction ♦WrmitutO-5.15:' T(802) t879-3360 F (802) 704-5903 Copyright(';) 2008 Sammcl Sign Company All Rights Reserved 60"w x 18"h two-sided directory sign 3mm Dibond background Digitally printed graphics 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. 1 further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Approval Signature Date PHYSICAL THERAPY 60"w x 18"h two-sided sign 3mm Dibond background Digitally printed graphics S AM��L S+IGN cOMPAN� 95 Chapin Road + Essex Junction +Vermont 05452 T(802) 879-3360 T; a2) 764-5905 Copyright © 2008 Sammel Sign Company All Rights Reserved