HomeMy WebLinkAboutPermit Permanent Sign SN-06-32 - EYE VERMONTBED AR'1[ v(,�1`1 i' 0 F P1--,A `1i11 D1,iG .& --OTJII T1a
575 DORSET STREET
SOU"CH BUR,LLNGTOI�i, VErRP OPTT 05403
(802) 846-4106
FAQ (802) 546-4101
Permit Number SN-�-�
A-i-pplicat on for Permanent Sip Permit
1) OWI,,IER OF RECORD (Name as shown on deed., mailing address, phone and fax #)
2) APPLICANT (Na+ne, mailing address, phone and fax #) 1_ J -1 . -4)"V,+4 6
3) SIGl T LOCATION (include business name, address, & phone #): ec-r,
4) TAX PARCEL 11D # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (t',iaine, mailing address, phone and fax #): S�
r7 3 �
05-Y6 13
6) DATE OF ERECTI01`I
7,1 SIUN DA 1 A
WAIL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
1. SIZE (in sq. ft.):
12. OVERALL HEIGHT:
G
SIGNABLE WALL AREA (in sq. ft.): I TYPE OF !,LUMINATION:
I— , ( -2
NOTR- A scaled rendering of each nronnsed sign must he quhmitted ilhistrating the color of the sism and
noting the dimensions of each sign.
8) DATE OF DESIGN
9) Applicant Signature:
Its) Signature ofLand/Euilding Owner:
Fee:
Code Officer Signature;
AL (if applicable):
Do not write below :his line
Date:
Date: ,(_ // -ot-
ected� ETApproved
��—� Date: S`` Q�
12"YEERMONT 15"EV Letters Kelly Green/ 15" x 149"
EYE VERMONT