HomeMy WebLinkAboutPermit Permanent Sign SN-07-73 - VAN PHAN SPORTSJAYNE v1FK-0N
S0261-^(3 ' .i4
City of South Burlington, Vermont
Application for Permanent Sign Permit
t OWNEK OF RECORD (Name as shown on deed, mailing. address, phone and fax o)
,) APPLIC p17• (Name, mailing address, phone and fax a)
3 JSIGN TLOCA�TIOI�(iacl � business name address, phone
,f
4) TAX PARCEL 1D 7 (can be obtained at Assessor's
5) SIGN ERECTOR (dame, mailing address, p^one and fax tt)
DATE OF MECTION�--
�" � SIGN DATA
WALL SIGNS (list size in sq. R., ' ation, & type 1FREE-STAND190 SIC
sxh a pe or cut-uut letter)
I . SILE (in sq. ft.):
OVE"LL HERA41
SIGNA. U WALL AREA (in sq_ ft.): TYPE OF 1L.LliMlNAT1ON: Y^ -
NOTE: A sealed nendermg of each propowA sign trust be submitted.ilh►strasio@ the color of the sign and
:toting the dinwnsims of eacb sign.
y) DATE OF DEslcx RFviEtiv AI' OVAL (ir a Pl;t able)
A) Applicant 'Signature. r/, G` � _ Date:
11) Signature of Land/Building Own6z
—mtt: l qLG •:.
!!!t•!t►!!!!! ��ll�ttt•�/�Ntf�trNO�NNt•Nlt/t+t.N��►i�tr!!t.!! �!!!!!!�t•N�01�t♦NN�I�•
Do not write below this line
!!!!!1! !!l1l�t►O!!lt/� t11�!!!!!t•!�!!t►!��!!!!!�!!l l���l�!!1!!!!► tr!ll1��l �!!! Nam!!!
fez: A •e ton: R ct pproved
t:: 1de Officer Signature: , .—_.__ Date; —_.L� /... d.
Permit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) 07NE R�OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLIC T (Name, mailing address, phone and fax #)�
3) 1GN JOCATION (inclu a business name address, & phone ft �! �
4) TAX PARCEL ID # (can be obtained at Assessor's Office) l
5) SIGN ERECTOR (Name, mailing address, phone and fax #):G��U%�
7) DATE OF ERECTION
Rl SIGN DATA
WALL SIGNS (list size in sq. 8., ' anon, & type
FREE-STANDIXG SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
� d..
NOTE: A scaled rendering of each proposed sign must be submittednilMustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW AP OVAL lif a , licable):
10) Applicant Signature: Date:
11) Signature ofLand/Building Owner: Date:
Fee:
Code Officer Signature:
Do not write below this line
Application: Rejected Approved
Date:
e
I
�AtiE�. 7o g� Mk) �v
f R��� s ieNu WG