HomeMy WebLinkAboutPermit Permanent Sign SN-07-57 - DENTIST - SPERRYPermit Number SN---�---
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECO S(Name as shown on deed, mai ' g address, phone an fax #)
2) APPLICANT (Name, mailing address, phone and fax #)jam
3) SIGN LOCATION (include business name, add�((dress, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address
7) DATE OF ERECTION
8) SIGN DATA
and fax #): A0ave-
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
*-4-
1 •
SIZE (in sq.
3e h b �'a.�,
2
VERALL IG T: ,
1(24&b-
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILL ATION:
NOTE A 1 d
sca a rendenng 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 applicable):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: Date:
Do not write below this line
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Fee: p 'cation: ected Approved
Code Officer Signature: Date:
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