HomeMy WebLinkAboutPermit Permanent Sign SN-07-41 - PSYCHIC READERPermit Number SN-
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 address, phone and fax #)�.AWRENCF S�E1/�i iS
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR ame, mailing address, phone and fax
7) DATE OF ERECTION _ 7
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGNt/
such as panel or cut-out letter
1.
SIZE (in sq. ft.): /
2•
OVERALL HEIGHT:
ap_� 7, 6,;
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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— scaicu feaduung ui 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 applicable): 6 1,,r d 7
10) Applicant Signature: 4Date:
11) Signature of Land/Building Owner: ✓ Dater
Do not write below this line
Fee: A ation: ected cpp(o;v�
Code Officer Signature: L CDate: ?/ v
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Reader & Advisor