HomeMy WebLinkAboutPermit Permanent Sign SN-07-12 - CLOCK TOWER SQUARE:r,F FLU 11\\1- jDnTG tit FONT [\Tlu
57517ORSET STREET
SOUTH EUR.LLNGTON, ?%ERM0111T 05403
(802) 846-4106
RU' (802) 846-4101
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Application for Permanent Sign Permit
1) C5WN_ EER OF RECORD (Name} as shown on deed, mailing address, {phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGI d LOCATION (include business name, address, & phone #):
4) TAX PARCEL II3 # (can be obtained at Assessor's Office
5) SIGN ERECTOR Ctt�lamme, mailing address, phone and fax #):
7 84.-i Co 2-
6) DATE OF ERECTION
7) STGN DATA
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WALL SIGNS (list size in sq. ft., illumination, &type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq. ft. ):
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3 -X - 12 s -
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
k,(
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW �,APPPROVAL (if applicable):
91 Anrol icant Si ertature`yLi t 1,Dl. I, IT;
Its) Signarare of Lan ding owne1— (,
y
Code Officer Sianature:
Do not-tv a elow this line
Arplication:■ .,i ected
[°Approved
Date:
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