HomeMy WebLinkAboutPermit Permanent Sign SN-08-87 - BODY LE BRONZEPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone a fax #) _
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So N E'er cxkq___i -ng t- c it, -t. 4
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2) APPLICAVT,(NWe, mailing address, phone and fax #)7G N d �(
3) SIGN LOCATION include business name, address, & phone ft 22.S
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, ma ling address, phone and fax ft
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7) DATE OF ERECTION ZC-v� " �f�
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
I. n ��'.� Gar-�� ��� SIZE (in sq. ft.):
2• OVERALL HEIGHT:
SIGNABLE WALLA A sq. ft.): TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each nronncpd s;on m„ct 1P __
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL if applicable):
10) Applicant Signature: Pa- Date: I/
11) Signature of Land/Building Owners r Date: ar L `�
Do not write below this line
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Fee: _ 1' ation: jected pprov
Code Officer Signature: Date: /���
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