HomeMy WebLinkAboutPermit Permanent Sign SN-07-72 - VAN PHAN SPORTSPermo \umber SN • v
City of South Burlington, Vermont
Application for Pennanent Sign Permit
1) %v NE,R OF KECORD (Name as shown on deed, mailing addres%, phone and fax
`) APPLICANT (NzLmc, mailing address
,)$IGN LOCATION (include business name,
fax #)
& phone
,�? TAX PARCEL U) 11 (can be obtained at Assessor's
-5) SIGN .ERECTOR (Name, mailing address, phone and fax
7) DATE OF ERECTION__9!
81 SIGN DATA
i %N ALL �il(iNS (list size in sq. ft., illtmtinatioa, & type
such ;�Uanal or cu(-►ut letter)
FREE-STANDING
SIZE (in sq. ft.):
2 OVERALL HEIGHT: �� -----
SIGNABLF WALL AREA (in sq. ft.): TYPE Ul~ ILLUMINATION: —
Aj
re
vUT L. A scalescalednderin b • -- � -- — of each Pm[tosed sign must be submitted illustrating the color of the sign and
toting th dirnensions of each 5ittn,
9) DATE OF DESIGN REVIEW AWROVAL 4-applicable):
10) Applicant Sigrtarure / �' --—�'� �� ^'
Date-
I') Signature of LandiSuilding Owner: —-
arc �`1
Do not write below ttfis Mae
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hee A.ppl, ation: Re ted pprov
Code Officer Sigrtn ure: Date:4
Permit Number SN
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) ()WNE.ROF REgORD (Name as shown on deed, mailing address, phone and fax #)
3),SIGN LOCATION (include business name, giddress, &
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax ft X S-
7) DATE OF ERECTION PyC— � "
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT: r�
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF IL�LUM INA_TION:
NO M: A scaled rendering 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 OVAL (' applicable): / J
10) Applicant Signature: Date:rp-
11) Signature of Land/Building Owner: Date:
Do not write below this line
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Fee: Application: Rejected Approved
Code Officer Signature:
Date:
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