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HomeMy WebLinkAboutPermit Permanent Sign SN-06-77 - NEW ENGLAND BALLETI J Permit Number SN- City of South Burlington, Vermont Application for Permanent Sign Permit 1)WNER OF RECORD (Name as shown on d ed, mailing address one and fax #) c55C/k 1=n tv it,5e-5 4JG O 17�54( sx cYW14,0 11 D�, phone 2)41-05 APPLICANT (Name, mailing address hone and fax #) VC � �h l yj %3y /f'c7e �-14 r\( , -i- hC ., PO l �G�( D a-17(, 55eXy r. -Y -/ -Y� ,r71'..,�no ?�'4`r `�rE v +)c N LOCATION (include b}ne s narpe, address, & phone #): /� Sti Pery �h %�cf Ih �� Cch Scr✓�c c �h Sc.. fi PARCEL ID # (can be obtained at Assessor's Office) 1 J l0 —C)1 -f; C) 5) SIG�EREqTOg�Name - (;57 7) DATE OF ERECTION 8 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDIN SIGN out letter U r K ►1,v,7 , o� SIZE (in sq. ft.)- n2. OE HEIGHT: ..ee'4-LL A (in ): TYPE OF ILLUMINATION: o _f-v4r,vr scale ndenng of each proposed sign mu t be submitted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REfVIEW APPROVAL (if a�D/plicable): C tiJ � H) I vi [34 ( (f C o 11 10) Applicant Signature: _.c.P P"'s (-11- Date: -Poo, (o, a cv 11) Signature of Land/Building Owner: /� �Date: POU, y�t3c/ see Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• tom_ Fee: pli tion: Rei t �pprove %i Code Officer Signa Date: � ew tn8 land ` � allct onservatorT 86,5m6800 WWW. NEBALLETCONSERVATORY.COM LXew tn 9 fand �onservatorT