HomeMy WebLinkAboutPermit Permanent Sign SN-05-73 - 22 PATCHEN RDC
D)E-? 1FiTPwIE1giT -C) F g1,A1\\ H\,T;G I& 7-01`TING
575 DORSET STREET
SC•L' 114 EU13LL GTON, V ERD/.':01-TT 05403
(802) 546-4106
FA2-s (802) 846-4101
Perarit Number SN-0.�-
Application for Pe anent Sign Permit
2) APPLICANT (Name, mailing address, phone and fax #r)-
5) SIGN ERECTOR (!Name, maim acidness hon d far #):
/ d n //C7 _ 1 / '
6) DATE OF ERECTION_
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STA-19DING SIGN
1. 4 h
SIZE (in sq. ft.): t 2- tlx ll
2.
OVERALL I-IEIGIM ,
(l
SIGNAELE WALL AREA (in sq. ft.):a(?tO?
1 TYPE OF ILL � TI®N:
iNu i r.: A scaiea renaering of each proposed sign WDRt be submiVd illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN RE �T APPR VAL (if Iicabie):
9) Applicant SiaraturL: e: 1
t5 0�
1 a not write below this line
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Fye: S� ication: 7, -ej ted Approved
ii
Code (?facer Sim altar; : Date:
vv-
36.5"
10.25" i 22 PATCHE ROADn
r-,
„ CLIIFFORD KARMIOHL, Ph.D.
10
LICENSED PSYCHOLOGIST -DOCTORATE
24„
5255
jOBEZ
CHIROPRACTIC
DR. STEVEN SOBEL 658-4064
CHARLES
BOLTON
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