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HomeMy WebLinkAboutPermit Permanent Sign SN-06-05 - POULIN PERFORMANCE1 /11TM i F SOUTH BURMiGTO1`J D EPFFF),TI/ IET P,TT rr.)iF' ulk ZOI`TDTG 575 DORSET STREET SOUTI-11 BUR L GTON, VERM-11ONT1 05403 (802) 846-4106 FAX, (802) 846-4101 Permit Number SN- 6)6 - Application for Perm- anent Sign Peimit 1) O R OF R4CORD (Name as shown on deed, mailing address, phone and fax #) SOm;3 - Z all Cct x n -2 .:51 2) APPLICANT to ame, mailing address, phone and fax #) e v) of ✓ . J-o ✓ (�-t"La—O 65 /I p5 o SbZ- LOB—C) c) SUZ — &L7�,k — l i(3(o 3) SIGN.LOCATION include business name address & phone #) y 4) TAX PARCEL ID # (can be obtained at Assessor's Office) _ 5) SIGN EPA ¢¢ ECT'OI T'IaYne, m�.ilin address, phone and fax.#); o 4Q T 6) DATE, Or ERECTION 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or letter) ;cut-out i. 1--✓ tA SIZE ft.): 2 • ,,2_ ,2 9 ' �r O �,� � OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): N � -?- TYPE OF IL LUNIINATION: p N u i r,: A scaiea renaering or each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 8) DATE OF DESIGN 9) Applicant Signature: (if applicable): —O`? ` 7 Date: ! Tanta- 1. 141. /1 a Do not write below this line /Appra oved aaaeow®ae�R.e*ec�ted ,_Cade Officer Signature: Ll Ii'at;.. � (0' Directory 4-E„ FouLINRFORMANCE BUILDING M. PE RFO MANC E :10 Dk»mmr,1:4iIrrk% d rel gray �rryLD 38"x92.6. No Text No Text y v � t IY� � � e