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HomeMy WebLinkAboutPermit Permanent Sign SN-06-31 - GT BAGELPermit Number SN-� City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) APPLICANT (Name, mailing address, phone and fax # G T v-e� () tt 3 0­,� 3. 3 3) SIGN LOCATION (include business name, address, & phone #): 863 3 (� ,(y 4) TAX PARCEL ID # (can be obtained at Assessor's Office). 5) SIG2N ERECTOR (Name, mailing j�address, phone and fax U)A` Sa- 3 t-r U I- n n (oLP3 3 "2- 7) DATE OF ERECTION SIGN DATA MALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREE-STANDING SIGN 1.6 A SIZE (in sq. ft.): 2. OVERALL HEIGHT: SIGNABL WWALL AT (in sq. ft.): � J 5 1 _< _ To TYPE OF ILLUMINATION: NOTE: A sc,ied rendering of each proposed 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: 'rDate: �J 1 L U 6 �iw`.�rwY 11) Signature of Land/Building Owner' Date: 090©00000®®A©®000©00®A990©®A000©0®0000®®AA09A®60®9A®9A0®A®A90©0000®®O®®00®®©DO Do not write bellow this fine 000m0000®o©o©®momo®©00000®o®oeo®®a®®o®o®®®®e®®®®eA®®®©®oA©©®®o®© o®©©©®®oo®oo Fee: A lication: ejected Approved Code Officer Signatur . Date: U� Ul w t • i �'�ENTRasendWlCheg Id