HomeMy WebLinkAboutPermit Permanent Sign SN-06-35 - WILLOW HOUSEPermit Number SN--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed mailin address, phone and fax #)
2) A PLICANT dame, mailing address, phone an4 fax
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3) SIGN LOCATION (include business name, address, & phone ft VVO IO v�
11pC4k h.e n Plot
4) TAX PARCEL ID # (can be obtained at Assessor's Office) I o2RO - CC' 1 6'
5) SIGN ERECTOR (Name, mailing address, phone and fax #): E1 L'1'J_
L (C 3CU+k Mil i v) Sf, , � A I I )&ns 1�zti -
7) DATE OF
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 /
2.
OVERALL HEIGHT:'(
SIGNABLE WALL AREA (in sq. ft.):
T PE OF ILLUMINATION:
b
i4u i n:.k scaiea renaenng of eacn proposes sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: X000 Date: 16
11) Signature of Land/Building Owner: Date: to GLo
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Do not ii rite below this line
Fee: Ap ca 'on: Rejected pproved
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Code Officer Signature:
Date: /� ��
Willow House
"ome Decor & Gifts
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