HomeMy WebLinkAboutPermit Permanent Sign SN-06-61 - CITY LIGHTS41
,�ITY OF SOUTH BURLINGTON
DERARI T, I 12, PT 1DF PL A N-11 NG& JO1�TlIP"•TF'
575 DORSET STREET
SOUTH EUR NGTOi4T, VERYTONTI 05403
(802) 846-4106
FAX (802) 846-4101
Pern pit Number SN- D � -
Application forPere �� �i �umit
1) O;'hhT--R OF RECORD (Nance as shown on deed, mailing address, phone and fax #)
2' APPLTCANT (Tame, mailing address, -phone and fax
V USL(.0
3) SIGN LOCATION' (include business name, address, &I phone #): C��� L ��►'� s
�2 $acci� S� S-a �.r1 i��Rrly�
4) TAX, PARCEL ID # (can be obtained at Assessor's Office)
�) SIGN ERECTOR (I',Iame, inailing address, phone and. fax.#):
0�,�
6) .DATE', OF ERECTION
/) 61UN DATA
WALL SIGNS (list size in sq. t., illumination, type FREE-STANDING SIGN
such as panel or cut-out letter)
1, , / SIZE (in sq. ft. ):
2. OVERALL BEIGI :
% �G ''
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION:
,I
NOTE: A scaled rendering of each proposed sign must be submitted illustratine the color of the simi and
noting the OlMensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Signature -
00*0000
Dg-nQt write below this line
Fee: 4p"tion: ❑
Date:
0t/ ?P
Code Officer Signature-
J bate: l A�o
city lights
Thursday, September 28, 2006
Otter Creek Awning
Salesperson: David Banks
19 Echo Place
Williston, VT 05495
Phone: 802-864-3009
by/1y/'lbbb b1:b2 bb2-bb8-Jb15 DURASUL PAGE 03/05
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