HomeMy WebLinkAboutPermit Permanent Sign SN-07-43 - KUI'S ASIAN FODSPermit Number SN- v -�
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailin ad ess, phone an/d fNo
Yw,, Cheiv 4- Domiskey.q z a,r`q 4 �o �=X
20 1 H x- o'r Rt # Slt��ttrh� l%
tsu z- ci ir`S- z a i I
2) APPLICANT (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone #):
M g-ke;'t 35 Do rs z+ S't . 5'LAe L . S. ai L h kuK , \f j
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
z-,0 M cu- hL c I& #2= — V i D 14,S Z pb )-, --0 SS -Li- (I
7) DATE OF ERECTION o 7 L Q I / i_en )
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
I. {� ;i S %�s,etiti �Csoc`s Mce.rKet
SIZE (in sq. ft.):
c). I- s Lees
2. W01,At Ctkt-oa,t te4_Ts
OVERALL HEIG T:
3'
SIGNABLE WALL AREA (in sq. .): t t
wTnmr.. e _
TYPE OF ILLUMINATION:
- • . > —u=. =.,u..�=.j.r� Vl QaLj, PivPL)seu sign must oe suominea illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature:, Date: b L 2l 0
11) Signature of Land/Building
Date: Z b 7
Don ite below this line
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Fee: D A �Ic
ion: Rejec d pprov
Code Officer
Date:
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