HomeMy WebLinkAboutPermit Permanent Sign SN-06-21 - ERIN L SMITH - LAW OFFICEI
Uor�irNt
CITY
OF SOUTH
BURLINGTON
+
DEPP � � T, IM Ei FTT OF PLA11",MWtG & 7,Or,,TPTG
O��L� q l q l ou
575 DORSET STREET
SOUTH BUI?UNGTON, VERN IONT 05403
sZ Ia (802) 846-4106
'PAY (8(12) 846-41M
Si Permit Number STt�
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Application for Permanent Sign Permit
WNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
�' rOt S2A';<, + -� t A A .rn �1a'-lPI
�C�N ark -ire � ui tlu;rd ��2. -� l'� Ni rek�� �/?� C�2�a� C-Q l l tAla r • �3�i-1452-
1�arne,'�
APPLICANT (Name, ?nailing address" phone acid fax #
'1
3) SIGN LOCATION (include business name address, & phone #): ,em�ar wa.�
1 2 ' i C, u 4, f- y p � Sic�Y1 ra
1 LitJ
4) TAX PARCEL # (can bd obtained at Assessor's Office)
5) SIGN ERECTOR QTame, tnailin�address, phone and fax.#):- '9r (} Srn r�
lib
5) DATE OF ERECTION rca Sx9r`l1 . c
7) SIGN DATA �� c�C�llilnr� �f1P�
WALL ' GNS (list size in sq. ft., illumination, &- type
,.
F FE-STANDING SIGN
-
w „
such a anel r cut-out letter)
i. > p
J
SIZE (in sq. ft.):
It4A
3 x, 2LD" L,
2. l O' X 30L_ = 2.08 9,. (4
O JERALL HEIGHT:
SIGN -ABLE WALL AREA (in sq. ft.):
5 "6 = I � �k
TYPE OF ILLUM NATION: ( .�
P ��f,*i
� s �
y w i 11 S�a�c s&7
iyvi . ri �cwcu A cuuoung uz eacn proposes sign must be submitted lllusTratulg the color of the sign and
notin the dimensions of each
r) J ice" t v+`"�
$ slgn. -
,r �QS}SU�vi„�,,,SSt4a�
8) DATE OF DESIGN REVIEW APPROVAL, (if applicable): � /0&
9) Applicant Signature: Date:. q 1 -I JO(v
10)_Si-an&ture fif LandfRn lrlinu nump,r?'' 1,�r ra�Ta• x ��o�d Z
---------------- -- --- ------
Do not write below this line
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Fee: 't • Application: ❑ Rejected ,El Approved
Code Officer Signature: r+ --�- Date: - l dt-" a
ERIN L. SMITH, ATTORNEY
2952 . _
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WOOD ED
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