HomeMy WebLinkAboutPermit Permanent Sign SN-07-39 - PULCINELLA'SCITY OF S&UT H BURLINGTOINT
DER AHTMEN T OF PI-A-INI tENG .& SONDTaG
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FA 'C (802) 846-4101
Permit Number SN-
Application for Permanent Sign Permit
1) OWNER OF RECORD (Names as shown on deed, mailing address, phone and Fax m)
2) APPLICA 47 (Name, mailing address, phone and fax m) 7wr p—) S547i St4iu5
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3) SIGN LOCATIO' (irelade business name, address, & phone ;�=):
4 TAX PARCEL ID .4 (can be obtained at kssessor's Office)
5) STCTN ERECTOR (Name, mailing address; prone and fax =): _
b) DATE OF ERECTION & _ Z o — 0 `T
7) STGN DATA
WALL SIGNS (list size in sq. 8.. illumination, & type FREE-STANDING SIGN j
such as panel or cut-out letter) I i
SIZE (in sq. ft. ): I
4A, i a I
OVERALL HEIGHT:
SIGN ABLE WALL A EA (in sq. ft. ): TYPE OF ILLUMINATION:
9, PJU .tvie !e
VOTE: 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 DESIGN7REAPP (if ,is ble):
9) Applicant Si-matureDate: 10-7
Ol Slo-nature of Land/Buildina Owner: Date:
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Fee: �� A ation: ej ted Approved
Cade Officer Si mature : n`Date: S ��
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■ DESIGN COPYRIGHTS
The design above, file name PULCINELLAS
is subject to the following conditions. Please read the conditions carefully and in their entirety.
This drawing contains original design elements created by Twin State Signs and is subject to all copyright laws. This drawing is the property of Twin Stale Signs and is intended
for your review and approval purposes only. It is not to he reproduced, copied or exhibited In any fashion or shown to anyone outside your organization without the expressed
written consent of Twin State Signs. In the event that exhibition occurs without consent, Twin State Signs expects to be reimbursed $500 in compensation for time and labor
entailed in creating these plans. Copyright 12007
Acceptance of Conditions----------------------------------------------------------------- Date --------------------- 1 V V 1 1 V STATE
<°
■ PROOF READING
ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED AND READY '; SIGNS
FOR PRODUCTION. ONCE THIS FORM IS RETURNED TO US SIGNED, WE ARE RELIEVED OF ALL RESPONSIBILITY FOR ANY SIGNS
1 r
ERRORS THAT MAY BE DISCOVERED AT ANY TIME IN THE FUTURE. 14 Gauthier Drive
Proof read and approved----------------------------------------------------------------- Date --------------------- Essex Junction, VT 05452
■ PAPER DRAWING IS NOT A COLOR PROOF 802-872-8949
Note that the colors used in this paper print represent the colors to be used in the project but do not represent those colors exactly and fax 802-878-0200
are not intended to 6e used to color groat the project. k�"mow_
e-mail twinsign@together.net
I have read and understand that colors in drawing are not exact
----------------------------------------------------------------- Date---------------------