HomeMy WebLinkAboutPermit Permanent Sign SN-07-24 - SECURE SHREDPermit Number SN-f--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing ddress, phone and fax #)
Oc S. 36r- i�a�v, VT o5ya3
3) SIGN LOCATION (include business name, address, & phone #): �S W1 C_ 1�}S
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): �f, h I CACSC r- 5 qN %
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7) DATE OF ERECTION 3// 2 /U
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STAN ING SIGN
such as panel or cut-out letter)
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OVER HEIGHT:
SIGNAIBLE ALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL ' applicable):
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10) Applicant Signature: �'�`�I1J`e�ate: y Z b
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11) Signature of Land/Building Owner: tJ Tv" Date: z v
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••.•.....•.......••.•••........•••.•••...•.......•...:.........•.•............
Do not write below this line
100
Fee: A li tion: Rejec prove
Code Officer Signature: L' Date: v
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03/30/2007 1:13
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