HomeMy WebLinkAboutPermit Permanent Sign SN-06-52 - CLIP-N-DIP PET GROOMINGS I T Y OF SOUTH BU RII,,INGTOTi
DEP! RTI yT',TT -OF P?t.,A?li TIN]rNJG :& "OI`TFSTG
575 DORSET STREET
:SOU714- BLTRLLNGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
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Permit Number SN-�- S f�
Application for Peoria ent Sign Pen h
1) OWNER OF RECORD (Name as shown on deed, mailing address, prone and fax #)
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2) APPLICANT (Name, mailinLzaddress_ n11nne arirl fax 9.)
3 SIGN LOCATION (include business name, address, & phone #): �'Cp �l
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) IGN ERECTOR QTame, mailing address, phone and fax #):• U ), it ai x3
5) DATE OF ERECTION
7) SIGN DATA.
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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1. C LA- P -- „} - b, P
S (in sq. ft. ):
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OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUN11NATION:
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s-3Z . bkoaicu ACnuernng oz eacn proposers 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):
4) Applicant Signature: XDate:. 8
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Do not write below this line
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Ctfi3cer Sig�dattar: �-, Date:
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