HomeMy WebLinkAboutPermit Permanent Sign SN-08-83 - WILLJ Permit Number SN- 6�8 -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1 OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2 APPLICANT (Name, mailing address, phone and fax #) ►�� � �6`f' CV Y
3) SIGN LOCATION (include business name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):i
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7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMIN
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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 REVIP-W APPROVAL (if applicable):
10) Applicant Signature:
Date: ///a/w
11) Signature of Land/Building Owner: k5j .e If Date:
..............................................................................
Do not write below this line
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Fee: lication: e'ected pprove
` / Code Officer Signature: Date: �v U
We Do:
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