HomeMy WebLinkAboutPermit Permanent Sign SN-07-76 - HER LOOK10/23/2007 TUE 9:39 FAX 8026585002 O'Brien Brothers Agency
0002/002
Oct, 22. 2007 3; 15PM HER LOOK No, 2573 P. 2
Permit Number SN- 0 -
(76-
Clty of South Burlington, Vermont
Aj i for Pert anent Sign Permit
1) OWNER OF RECOR NNT,,me as shown (a deed, mailing address, phone and fax #)
�11,F bW ✓lot �1 � LLB �a 5�1 � �' oo u
( U�1 9 7 - -10o7
5 � I�v✓ln' � � �1' S�u�
2) APPLICANT (r ne, mailing address, phone and fax #) -,gyp✓ SC5
'172, f llxdow lam' ) , vfI'T I U
-_-- 500 V1►3U(ud-any ►� �5L! 63
3) SIGN LOCATION (include business name, address, & phone #):1.00 s�S
�l 1 Z M1 slow Dr. -�'o . (6.,Ji 1 JY��
b5-7 - ucv-f
4) TAX PARCEL ID #t (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 14 ( / �, �'�P
i I✓t� Y) n W? -< vl k 6 � 17T 0 5z-/b/
Sae 2 — 10lr0 ---
7) DATE OF ERECTION - 01 - U
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, &type
'FREE-STANDING SIGN
such as panel or cut-out letter)
1. �?j '' >C 25 t,,- (�►> �(
SIZE (in sq. ft.):
2. JC 'r X 1 Z � \ I r
J
OVERALL HEIGHT:
, � (
J
�fgm � S
SIGNABLE WALL AREA (in sq. ft_): Wo
TYPE OF ILLUMINATION:
ivvi n: H muca renaering or eacn proposes sign must oe submatea illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: vm Date: 1 U '( � IU
�.J
11) Signature of Land/Building Owner: Date:
bo not: write below this line
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Fee: A cation: Re' cted prove
Code Officer Sig >7atu1•e: � � Date: f'Ja 6
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