HomeMy WebLinkAboutPermit Permanent Sign SN-08-60 - NAPA AUTO PARTS13
CHT ?rr OF SOUTH BUPRL 1N�JGTT0IN'
DE -,PA 'T1VfEl`l 1 OF >PLALaT1NP, 4G �30z YZONENG
575 DORSET STREET
SOUTH BURL•INGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on feed, mailing address, phone and fax 4)
2) APPLICAi4'T (1\Tame, mailing address, phone and fax 9) - !L, iA_) 5747e S/4 5
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3) SIGN LOCATION (include business name, address, & phone .):_?-,A 4�fiC �rir5
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4) TPA P:' RCEL ID.4(can be obtained at Assessor's Office)
5) STGN ERECTOR (Name, mailing address. phone and fax -)�ilr�3_sr
6) DATE OF ERECTION_
7) STGN DATA _
WALL SIGNS (list size in sq. ft., illumination, & type ; FREE-STANI DNG SIGN -r
such as oanei or cut-out letter) I pAlUPJ i2po1AG�-cf>�1
1 / Rwwy I SIZE (in sq. ft.):
LS I
2. ,fix OVERALL HEIGHT: (,
SIGNAELE WALL AREA (in sq. ft. ): TYPE OF ILLUNM4ATION:
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,N70TE- A scaled rendering of each proposed sign, be submitted illustrating the
noting the dimensions of each sign.
8) DATE OF DESIGN
9) Au licant Signature:
ble):
of the sign and
f - I
10) Signature of LandBuildine O��er: Date: -d� v {�
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Do not ;vr!te below this Hne
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Fee: A i tion: c d ?!approved
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Code Ocer Siature: Datel
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