HomeMy WebLinkAboutPermit Permanent Sign SN-06-64 - SWEDISH PITY DUIF � �0U'1 PI BUR ILING N N
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575 DORSET STREET
SOU's'H BURLL GTON, idEF,isMNT 05�03
(802) 846-410-6
FAIL (802) 846-4101-
Penn" Number STET- 06 - CO
Application for Perni neat Sign petit
l) ON32ZR OF RECORD ( ame as shown on deed, hailing address, phone and fax #)
2) APPLICANT (TT sae, Mailing addrt ss, piiQne and fax #�)
3 GN LOCATION (include business name , address & phone #)� )r' ,`
C� v�lit.o�
4) TAX PARCEL ID # (can be'obtained at Assessor's Of cv , g o K6
5) SIGN ERECTOR (P�jame. t�»i1i�� ar3n�-Pce � a f�=> ;f�• , . P 11 1 I_ 1 1
6) DATE OF ERECTION
7) STGN DATA
WALL SIGNS (Est size in sq. ft. illumination, � type
such as panel or cut-out letter)
2.
SIGNAELE WALL AREA (in sq. ft..):
FREE-STANDING- SIGN
SIZE (in seq. ):
/ c5 ) q d rr-
OVERALL HEIGHT : L'
TYPE
NOTE: A scaled rendering of each proposed sign must be submitted
noting the dimensions of each sign.
8) DATE OF DESIGN
Q) Applicant Signature:
00*8000
Fee:
APPROV (if pli
./ z/- //
ILLUMINATION:
'ati ag the color of the sign and
Date: gC
r1+11i'P• V 0 4
�Aft write below this line
saoo+�oeoese�easaaeeaaa�aeaeaa®aaeaa�olsse�aas®sov+�aia�s�aa.
anon: erectedI 19 Approved
Y
Code Officer Signature:
Date: �� 6
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