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Permit Permanent Sign SN-06-26 - TECHNOLOGY PAK
DES A,i IITW.;i.l`•T OF FLA-I�`1N7!?TC, % �_ONDTG 575 DORSET STREET SOUTH Et.TRLLNGTOi-T, ?%ERMONT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- u6 -� Application for Permanent Sign Pcrinit 1) C-) NER OF RECORD (Name as shown on deed, inailing address, phone and fax #) I rP Su,T. q 2) APPLICANT (Name, mailing address, phone and fax #) !ic:, " T 96 2, r � A "2 -1" .rrf...3 G, 3 Z 3) SIGN LOCATION (include business name, address, & phone #): f 2(a8 16Q t 4c 96 4) TAX PARCEL 11D # (can be obtained at Assessor's Office). 5) SIGN ERECTOR QTan-le,amaili[n' address; phone and fax #): -3 r A b) DATE OF ERECTION 71 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) F M -STAND G SIGN 1. S VN-O3SzQ v.i t SIZE (in sq. ft.): 32 2. OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW 9) Applicant Signature: 10) Signat-are of - Fee:.ri.,._.,e--_� Code Officer Signature 4PP -i applicable): Date: pier. Date: 41 ii ( NG Soo 000 ®o V©o o , eoe wo© �oaov000©so®aA000co®a®a®o®ae®osc Do not my to eloew this line oeeoee�®a wuaeeeassseecesweeresee�asa®ems �ewsve�aeae�uAeere 1 ation:&cr Approved Date: V//f/� � No Text No Text �� - |�yy ,ate .. ..x.w:� �� d+ )� \ \ : y:« «-: \ » . � \�� \� ? /©� � .©«->v�-. ,a -: .».s© ,y > � � . . � < . . a .. . . ��y�. . y:\y�»»�. :._�.w s : � y © « ��� \— z &* »� �� % ?� \ <� � �� : � � - �®�� � z� »� «� _w� vim_ y2{�2