HomeMy WebLinkAboutPermit Permanent Sign SN-06-27 - G W SAVAGE1)O
DEFATI Z IW NT C,F FLA19TIll'UN T & J014U] TG
575 DO+PSET STREET
-9OL 1'H BURLLNGTOi,T, VERMOINT 05403
(802) 846-4106
EAR (802) 846-410-
Perm it Number SI\T-
Application for Permanent Sign Permit
OF RECORD (Ni afire as shown on deed, ,wiling address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #
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3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL lD # (can be obtained at Assessor's Office)
5) STGN ERECTOR Ci{Tatne, mailing address, phone and fax
cam, n vim.
6) DATE OF ERECTION IDS LC.'s" .
7) NIUN DATA
" WALL SIGNS (list size in sq. ft., illumination, & type FREE-STAI�-TDING SIGN
such as panel or cut-out letter)
1. SIZE (in sq. ft.): ld
2. OVERALL BEIGHTT: G
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION:
tl , L$ TD /qJv�� G 4-
1VU E: A scaled renctenng of each proposed sign must be subnutted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
91 Applicant Signature: e44k.14-,
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10) Signarare of Land/Building Owner:
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Do not write below :his line
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Fee: (�Acation: DAM,viected, pproved
Co& Officer Sig -nature: Date:
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RESTORATION SPECIALISTS
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2006