HomeMy WebLinkAboutPermit Permanent Sign SN-07-81 - SMART SUITES11/13/2007 12:15 8328461996 SMART SUITES PAGE 02/02
Permit Number SN- V -
City Of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone hild fax #}
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1 ems- UT- O'S '( 0.3 9-6 Y. 7 q
2) APPLTCANT (flame, ma:1.1iug address, phone and fax
3) SIGN LOCATION (include business name, address, & phone #):
3
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
S) SICYN ERECTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTION
8) 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:
SIGNABLE WALL AREA (:in sq. ft.):
TYPE 01: ILLUMINATION:
�. . n .— A.uuc.,glg va cuw yAupuyna sign MU31 CC SUDMIUCa tttustrat'tne the color Ot the Sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVE!EW_�-kPPROV,AL (if applicable):
X 10) Applicant Signature:
11) Signature of Land/Bttildinj
Date: j( f t{[C71
Date:
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Do not write below this line
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cation: eje toFee; proved.
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Code Officer Signamr : Date: IN
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Replace face in existing sign
No change of use
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