HomeMy WebLinkAboutPermit Permanent Sign SN-07-28 - UNIVERSITY INNm
C.1Y Off' S,GU. T K .BURLINGTON
D:E1c'AA'ICIV F,N T' OF 1P3..ANNING ,�, ZOI` E'10
575 DORSET STREET
SOUTH 13URLINGT01q, VERytONT 05403
(802) 846-4106
PAX (80I/,) 040-k101 1)6
'Permi
t Number SN-
Application for Permanent Sign Permit
1) OWNI ER OF RECORD (Name as sl own on deed, mar ing address, phone and fax #)
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2) APPLTCANT (Tlarne, mailin, address, phone and fax #) 2��T�
3) SIGN
LOCATION (include business name,
address, & phone #):�Nt
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4) TAX PARCEL ID 4 (can be obtained at Assessor's Office)
ame, mailing address, phone and fax
5) STG1`T ERECTOR (N#)' �
6) DATE OF EREC'rION o
7) S1CJN DATA
WALL SIGrIS gist size in sq. ft. illuminetior� & rype FR6E�TANDiNGYGI s�
sueh — anel or cjt-out letter) S E (intsq. ft.): ',� ,
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OVERALL HEIGHT:
ES1G:NA__8LF
12: 1 i��
WALL AREA (in sq. f3.) TYPE OF ILLUMINATION. I
VOTE; A scaled rendering of Hach proposed sign must be subauved illustrating 111e color of the sign and
noting the diniennoris of each sign,,-,
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g) DATE OF DESIGNAPPR if pPlictfble):,
Date.
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9) Applicant 510_rnature..
f - `�--- Date:
0) Signature of Land/Buildi `g OwneT:
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Fee, cation. ejec C
d 'Approved
Code Officer Sip atum. Date:
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