HomeMy WebLinkAboutPermit Permanent Sign SN-08-47 - INTERSTATE SHELLPermit Number SN- be -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
L .401
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2) APPLICANT (Name, mailing address, phone and fax #)
C- .4 cJ f:7)
3) SIGN LOCATION (include business name, address, & phone #):IiUX,,Zj
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): atiriC1'L�CfoC'a
7) DATE OF ERECTION
8) SIGN DATA E;ll ,� T. j vs� _ / --
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
eE�Zj j -- _ A,(-
1 'oo4A.5-1 14ec-:)
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
[SI�GNA�BLEALL REA (in sq. ft.):
TYPE OF ILLUMINATION:
NnTR A cralari rpn fl in.,..Fo.,,,t, _a _
1=vYu3cou bigii uiusi oe suonuttea illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIE APPROVAL (if applicable):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: t� �.-2-� Date:
Do not write below this line
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Fee:
A hk ion: Rejected Cpproved-)
Code Officer Signature: (�S
Date: v