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Permit Permanent Sign SN-06-43 - TUSCAN KITCHEN
Permit Number SN- v0 - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) APPLICANT (Name, mailing address, phone and fax #) 3) SIGN LOCATION (include business name address, & phone #): Z�Cpn 14-0)Cn 109Q S l)e t l9w�c Read. Scu Uh o n tir\JT O S H 03 2 -1300 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, phone and fax #): &e l NcEpl ti'xh 2 7l L SYiew"Yle. gl c, n lblamn , U]L- r)S`I 7) DATE OF ERECTION. 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 1. x 3d u 2 I(o SIZE (in sq. ft.): 2. pone( OVERALL HEIGHT: SIGNABLE WALL ARE (i q. ft.): TYPE OF ILLUMINATION: j r(ccd i t)-U NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): 10) Applicant Signature: �— SlDate: :Z&k� 11) Signature of Land/Building Owner: Date: LOb Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• f 4J /-- Fee: S li tion: Re* to Approve Code Officer Date: OR Ih' STEAK � FLATBREADS PASTA SAMMti S - I -G -N -- COMPANY 15 Chapin Road • Esc, I i �i j,,iion ♦ Vermont O5452 T(802) 879-3360 F (802) 764-5905 Copyright©2006 Sammel Sign Company All Rights Reserved I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Approval Signature Date