HomeMy WebLinkAboutPermit Permanent Sign SN-06-17 - PJ'S AUTOPJJ�Ali�TTTIl°,T C :Ut �T`T It'Tr
575 DORSET STREET
SOL-1H BURLLNGTON, VE1 1?/101',,TT 05408
(802) 846-4106
E,A-, (802) 846-4101
Permit Number
Application for Pe anent Sign Permit
O'v'-'NER Oa RECORD (Name as shown on deed, lnailin V11
ddress, phone and fax #)
.
S. 'A'
5 cat s
2} APPLTCANT
�7s .�
hailing address, phone and fax #)-
.6
)-VGNS O 4TT � include business name addr ss & pphlone #):
4) TAB' PARCEL ID # (can beobtained at Assessor's Office} /2/0 - 02 U 7 3 _
5) SIGN E;'ECTOR Cr Tame, nailing address, phone and fat. #):-
6} DATE OF ERECTION G
it STON DATA
`'MALL SIGNS (list size in sq. ft., illumination, type
FREE-STANDING SIGN
such as panel or cut-out letter)
Z
SIZE (in sq. ft.): b
2
OVERALL I-IEI(T3T :
SIGN LE WALL AREA (in sq. ft.):
TYPE OF ILLUIVIINAT ON:
1V WJ-1 bk.;WCu .Cr.uenng o= eacn proposea sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIG W APPROVAL (if applicable):
9} Applicant Signature: Date:.
CLL�
I}l_Si_ ature of T,anc /Bni1dinu�«me.r tiLl'v l)atp
J
Fee:
Code Officer Signature:
Do not write below this line
�®eao®�rmoe�es�ss�ee®eaes®aoeeeseoeeasesweae eeaaeosm0eaaa�►a���s
lication: e' eted Approved
` Date: %�
N%%.W
II
1 � AUTO VILLAGE
10 ft