HomeMy WebLinkAboutPermit Permanent Sign SN-08-82 - AUTOBAHNPermit Number SN- U g - v,?—
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
(Name, mailing address, phone and fax #) YU� - 8(6d, -o pt t (- oA-c.c-
3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) rj, (O p- 0000
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 2e,\- I
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:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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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 REVIEW AL (if applicable):
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10) Applicant Signature: Date:
11) Signature of Land/Building Owner: Date:
..............................................................................
Do not write below this line
•.......•.•......................•.•.•......•..•...•.••..••.........••...•••••
Fee: Ap lication: Rejected (5pprove
Code Officer Signature: Date: ///�
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