HomeMy WebLinkAboutPermit Permanent Sign SN-08-59 - TIME FOR A CHANGEPermit Number SN- 6 -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) .J�h�E'S s ES/loc+�E►?$
GA 717-I rm2 AC4n vccr � 205 o,, Cscr'S-(- So. gy2tuN To.-J
V I OS403 �H -0330
3) SIGN LOCATION (include business name, address, & phone #): ATCX SriNG
S 1 GnJ OF V i ^JA 5 /-14 (12 ^1AG I C (;20 �j D02St-T- S-r. So• gVRL1N�'laN� V 1—
OS403 r<&H -03 30
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 6:—?c t S T-i N(:1
7) DATE OF ERECTION
Fa Puacu 01611 uiusL oc suomittea illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: �.Xt-, I '�' Date:
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Do not write below this line
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Fee: pplication: ej cted opproveq x
Code Officer Signature: Date: / h
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