HomeMy WebLinkAboutPermit Permanent Sign SN-07-34 - GRAND WAY COMMONSPermit Number SN-
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City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address,
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and fax #)
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2) APPLICANT\ (Name, mailing
/iaddress, phone and fax #) �• �� �� �=iy l'
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3) SIGN LOCATION (mclude business name, address, & phone ft
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0 (-- 7 o - � & `A i
5) SIGN ERECTOR (Name, mailing address, phone and fax ft Du-;
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7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
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1.
SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
SIGNABLE WALL 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 if cable):
10 Applicant Signature: Date: �1 �l 7/
11) Signature of LandBuilding Owne .21_4_1 Date: /
eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
Do not write below this line
eeeeeeeeeeeeeeeeeeeeeeeeeeseeeeeeeeeeeeeeeeeeeeeeeeeee•eeeeeeeeeeeeeeeeeeeeeee
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Fee: A ation: Rejected
Code Officer Signature:
Approved
Date: d
412 FARRELL STREET
HOUSING SIGN
3'
6'6"
3) 11