HomeMy WebLinkAboutPermit Permanent Sign SN-05-72 - MIA MIA'S PIZZAFax sent by : 9144282300 Acadia Realty Trust 11/10/05 16:23 Pg: 2/10
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576 DORSET MRE ,'i
SOL ;? BUPI NGT0N, sj Mr0l+-" 05442
(802) 846-4106
1 IU'U (5C2) 348-4201
Permit Number SN- - � �k
PI���ti �� I0 tee; r n�Ilt Sign '� I i
OWNER OF RELORD, (Name as sbowm on, deed, mailing address, phone and Fes,: 4)
—410- %mE SSOt.I S 1.1 i -trD tI"-Mt%kg b
T ql¢ zbb olOo Z ! O
2) APPLTCANT J. ame, mailing add: ess, phone and fa, 4) 1 c, � t V2-e (; �,,, L L t
3) SIGN LCCA T ION (include business name, address, & phone #): (h,; --c, o i 4 '7
S -7o SL `6. _ 5 .1l . r) �x OJT- c S I-Io •4 i�� f "
4, TiA FARO✓L ID ft (car, be obtained at Assessor's Office)
5) SIGN FRTTOR (Name. mailing address, phone and fax �): ��� T e„
5) DATE OF ERP_CTIO�N_ ,f 5I05
blUN DATA
WALL SIGNS osi size in sq. ft., illuminat;oa, �k r pc i I"REE-STAIMING SIGN
such as pzcel or cut-ont letter)
SIZE (L-1 sq. ft• ):
2. O', ERALL HEIGHT :
-
SIGNABLE WALL AREA (it: sq. ft.): TYPEO);1rC.Li NMV ATION:
L. I GV C' S 14 �
NOTE: A scaled rendering of each proposed sigo muse be submitted illustratizlg the color of the sisaa and
avkLU% uic uunen[4Qw 01 eaca 518n.
8) DAiE OF DESIGN RE'I-W ,A."PROV.AL (if applicable)-
9) Applicant Signature:
]pMtlOJYOP60�00DPOL000m00000D00
Foy. q r.1
Code Officer Sim atuTe:
I'd EbEB-Sss-aoe
Date: / // 1 Jv
write Imiaw Mir 1;ne
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