HomeMy WebLinkAboutPermit Permanent Sign SN-06-02 - JOLLEY SHORT STOPJAN-.5-2006 01:09P FROM:CITY OF SOUTH BURLIN 8028464101 T0:918025241570607 P.2
CITY O F S O �� TH BUR LI� �TG�ur 1� ON
675 DORSET STREET
80LJ'1'I? $LTI3UNGTON, VER1VN01sIT 05403
(802) 846-4106
FA)-% (802) 846-4101
Permit Number SINT-- 0 � - 0L
Application foi- Permanent Sig Permit
1) OWNER. OF RECORD (Name as shoran on deed, mailing address, phone and fax #)
(lv +-+ASS a�-� •fi t po S0.4 6 *)1 Sa- Z .+ 04 t'.Z-Y'> C
2) APPLTCANT (Name, mailing address, phone and fax #). S
3) SIGN LOCATION (include business naive, address, & phone #):
S kw 4?'L
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ELECTOR (blame, mailing address, phone and fax #):
5 ti-
6) DATE OF ERECTION
7) SIGN DATA
WAIL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. S' � (U 5 p v 4 c- <`- ; �� vac �y
SIZE (in sq. ft.):
2. �l 4yt f' -� ��E c _
OVERALL NEIGIHT:
- SIGNABLE WALL AREA (in sq. ft.): � `, J0
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color ottlie sign and
noting the dimensions of each sign. <t -i— k
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
1
p) Applicant Signature: Date:
M)_Signat m2_ofLan
aaAemoomoomAauoeommeoomooammmooaammaem®oamoomamwmoomosmowm000�ooamm00000mAmm0000mmmmoam0000000m000mm000a
Do not write below this tine
ANAAeAASAyAAeerA Oy�iAOAVWmAAGNmaoAAAAAY4AlImiNOSAM�AI+AAAAA�AOoss�ae�AeOAAas $to�o AaO�mArA�AOAAAM
Fee: �� Ap l' a ' ❑ Reje 'Approved
Code Officer Signature: Date. ( v�L
Short Stop
A6' oval main ID internally lit single face
5 return w/ LED( as per design specs )