HomeMy WebLinkAboutPermit Permanent Sign SN-06-75 - LEONARD'S PIZZAk111TY OF SOUTH BURLINGTON
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575 DORSET STREET
:SOL 1'N EUFMEI GTON, s1EFAA01"]T 05403
(802) 846-4106
FA (802) 846-4101
Permit Number Sit•-,2C,�
Application for Pemanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (_Manse, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #): ,
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOP ame, mailing address, phone and fax.#):
6) DATE OF ' O' 0 •
'I) NIUN L)A'FA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
1.
GU i- ov r cal C>
2.
FREE-STANDING SIGN
SIZE (in sq. ft.):', -
OVERALL Hl~ IGHT
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SIGNABLE WALL AREA (in sq. ft.): TYPE OF I�LUIVUNATION-
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NOTE: A scaled rendering of each proposed skm must be suhmitted ilhictratinu the. rntnr of t},e. cian and
noting the dimensions of each sign. v V
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Signature: ate:. ! O - l q - _"
Do not write below this line
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Fee:
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Code Officer Signatur;: 4z
I[Mcr�iz�
Approved
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