HomeMy WebLinkAboutPermit Permanent Sign SN-07-38 - DONNELLY'S MARTIAL ARTSPermit Number SN- V -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
iL W� 6 a 4 4 u JH ` W ky S v 'cam VT 054-e Z
2) APPLICANT (Name, mailing address, phone and fax #) 7os4pl,} E . P.C.I&S-"y
340 i�cfZS�T s711 �T, st�c Z i S� hiOro YA UT 03;403
3) SIGN LOCATION (include business name, address, & phone ft pauuiiLy kUMPL,
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 5-i6,v - 4-- kAAAA
i7J k�l -LIST o.�. .urn Si- ✓T o �
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1
SIZE (in sq. ft.):
ova war. S�.N «55 Z
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft)-
TYPE OF ILLUMINATION:
a
AinTL`. A --- 1—
-4-11 L. A scaicu rendering or each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW A ROVAL (if applicable
10) Applicant Signature: Date
11) Signature of Land/Bui ding Owner: Date:
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..............................................................................
Do not write below this line
S\ /
Fee: p lication: R ' cted pproved
Code Officer Signature: Date: C
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DONNELLY'S %I
MARTIAL ARTS 4L
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40" x 70"