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HomeMy WebLinkAboutPermit Permanent Sign SN-06-74 - FISHER AUTO PARTS\r- CUTY OF SOUTH BUIRLINGTON DERA,.R'� 11% „PTT DLL PLA��dG & Z01%Te-TG 575 DORSET STREET SOUTH BUF?LLNGTON, VERAIONT 05403 (802) 846-410-6 FAX. (802) 846-4101 Permit Number SI\T- Application for Perni neat Sign Petilit 1) OWNER OF RECORD (Nan-ie as shown on deed, mailing address, prone and fax #) (Cy/C12 91° L6F11j —z-A N , e6 ax 9 s F l/z: ©� G � 2) APPLICANT (1' an're, mailing address,. prone and fax #) ErZ �7c 3AIFu w;�t_c�o��� /00 60K KS3', 9A-P-ge) Boa-�{-79::A Z Ua - -I97--77 3) ST N LOCATION (include business name, address, & phone #): 6U-Ai o, xa, U;1�5 3 '70 - 4d k e /v-r .R cl 4) T X PAR.CEL III # {can b%-I'obtained at Assessor's Office) 1 S qO - UU 3 20, 7 5) SIGT1 ERE •TOR (flame, rnaiIin address, phone and fax.#): (� �. _ _ 6) DATE OF ERECTION 7) STGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 1. SIZE (in sq, ft.): � � %T(� do -� s 2. FT o rRALL IG �: w�c M _ // SIGNABLE WALL AKEA (in sq. ft.): TYPE OF IL LTIVIINATION: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW APPROVAL (if applicable): 9) Applicant Signature: �/��Z ate• Date:. A) i 0) Signature of LandfRuilcling O=eT- 1nate- oeaaeeoa9oeoeoeaemuoeoe000000000a000eu®oasaee®eahaaeeeseeaeaooaaeooeeooeeoe000e000aoeeoos0000aeeeoo0ooese r, Do not write below this tine ♦sseeeeeeeeesas+r+�o�aaaoeooaaaase•ao a aeeseeooetoeesaaaesaasaeeeoeeeeoeaseoemaoa2ee oeoeoaeoosaewae Fee: (� p cation: R cted Approved ` v Oolde Officer Signature: Dale: 3 IV 2U Video -mum No Text S.+71 �� +' M :, � .: li , ��� ' r �'.�:. �. �_: No Text No Text L