HomeMy WebLinkAboutPermit Permanent Sign SN-07-89 - SALVATION ARMYvdu w J r v i .oap �WCiai Jervices 802-854-925C
Peanit Number Sh- L> CJ
► City Of SOLith Burlillb on, 'VerMO-
nt
Application for Permanent Sign Pernait
1) OWNER O CORD (Name as shown on deed, melling address, phone and fax #1
2) APPLICANT (Name, mail addr s, ph ne ald fax #)YZajaZ
LOCATIOI\I (inpludu business rw�e, address, & phone #);
4) TAX PARCEL ED # (can be obtained at Assessor's OFTice)
5) SIGN ERECTOR (Name, mailing address, p^one and fax #)
7) UATE OF ERECTION ZlIp5 /1 �
8� SIGI\T DATA
WALL SIGNS (list size ins4. ft. iuuannution, type FREE-STANDING SIGY
such ab p anti or cut-out Itc*j)
1.
-W,
SIGNAHLE �l'
SIZI; ;L-1 sq_ flt-)
OVERALL T EI—GH -
AREA (in sq. ft):TYPE OF II.'LUMINA I IC V
NO noting e scaled rendering each
each proposed sign must bo submitted ihwTatiug -the color o -the sign and
noting the dimensiana uieacb sign-
9) .DATE OF DESIGN REV EW Appko L (if a� licablc):
10) Applicant Signature: �� ��"''W % �? / %r
��'� Date
Si gsiattzre of LandBuilding Ow-nr?r• /` 0.;� A .►
�44
•state s000to eove arowe00000*00*00*000000*0 as0"00000***all000de aorise*060490*a
Du not write below tkis line
00066 aages&* foees sooesa/000 woos a■60900ta*tat•0008999090e• a Dog* 06000 Osseo. 01009,60
Fee: V _ App cation: Rej < (Ap� ore
Code Officer Signature; Dare: v
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