HomeMy WebLinkAboutPermit Permanent Sign SN-06-24 - PAULINESPermit Number SN-�-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OER OF RECORD_Name as shown on deed, mailing 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 #): - ,
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) / SqO 0 / $3!
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION —A 5 AP
SIGN VATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
1 • SIZE (in sq. ft.): S�tvtE AS
2• OVERALL HEIGHT:
12;
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION:
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Nu I h: A scaled 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 RE APPROVAL (if applicable): ICJ
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10) Applicant Signature: Date:
11) Signature of Land/Building Owner: �� 4• (-Z-6�5
Do not write below this line
Fee: A lication: Rejected pprov
Code Officer Signature: � � Date:
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