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HomeMy WebLinkAboutPermit Permanent Sign SN-06-12 - THE EDGEPermit Number SN- City Of South Burlington, Vennont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) i l./ ) (,ur<%T Tr , ry ["xj1 iC G. n -1-7-4-- K r-r 3 .A . _ tT 2) APPLICANT (Name, mailing address, phone and fax #) S P,�M 't Ede .4 i 1659 et-0 z -6 V l,n k" UT 3) SIGN LOCATION (include business name, address, & phone #): 4) TAX PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR (Name, mailing address, phone and fax #) k Ss Z,� 1zcj 3 Z�( av B I RD UT C) 7) DATE OF ERECTION S) SIGN DATA MALL SIGNS (list size in sq. f., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) m—, P I. SIZE (in sq. ft.): 76 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. 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): 10) Applicant Signature: b&"Date:' A�6c 11) Signature of Land/Building Owner: L/�-�J� Date:Ol b Do not write below this line �©omo©oo®o®©©©©®vo®©momoo®oaoe®000©®o©®®®o•ee©®®ea®�®oeo®©o®®o®©©000®e©o®oa®o© Fee: SeD Apation: ❑ lcted pproded Code Officer Signature: "Sports & Fitness --% EDGE, 0191919 48" x 76" 2-sided sign 25.3 sq ft