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Permit Permanent Sign SN-08-66 - CRATE ESCAPE
Permit Number SN- (fU -_4L City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (NIt Ar e� asiho�vn on yed ailing address, phone and fax #) (Name, mailing address, phone apd fax, ctrr nm uCYI • c� y n`uT �� 3) SIGN LOCATION (include bsiesaddress, & phpn v)::The fe aq!?f 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SJPN�ERECTOR (Name, mailing address, phone and fax 1 X/. ,,- 1 nnn . c v��/Y�D / �✓ �n : �. 7) DATE OF ERECTION 8) SIGN DATA /71 LoL)Oot -to GK� WE Ill CI,CR)D ALOK MDY E5x is T f I -I& 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: SIG TABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: Nt7TR• A cralarl r n,iar:r,ry =.Fu....l. _ _� _ Tft?'Ii ,45AYs Morel Fivyvbcu sign must ne sunmrttect illustrating the color of the sign and noting the dimensions of each sign. dr)CJ act 9) DATE OF DESIGN IEW AITROVAL (if applicable): 10) Applicant Signatur . �_n Date: `"�" I lace- 11) Signature of Land/Building Owner: Date: Do not write below this lineand -D©-- 1 T Fee: A lication: Rejected cpp—ro—ve;_> yovvsel_* — W g Code Officer Signature: Dog Date: W ns k Esca 802-865-DOGS DOCK A\IcAo2e� DGo "BoAct), �O- iI- V6 ur-1Pj�-�� U� DESIGN SIGNS INC. 4 Andrew Avenue PO Box 8570 lissex, VT 05451 10 /( 6 1 ( (4�AC-iS)