HomeMy WebLinkAboutPermit Permanent Sign SN-05-56 - PSYCHO READER14
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. 576 DOr SET STREET
JOLTH LUE,I:I.NGTOi"T,-iERP1°OI'dT 05403
(802) 346-4106
FA-,X (802) 346-4101
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Permit Number SN- D J
Application for Permanent Sig. Pennit
1. OWNER OF RECYRD (Naqie as sho'VNM fl, d, mai h3 ad e_ss ' e
�p �
and fax #)
2) APP'ACANT (Marne-, mailing address, piicne.and fax #) L owy 5�-f,r,eh
3C:2 (= �,f �L / i S how p�-.n D
3) SIGN LOCATON ('nclude busjness name, addr s , phone #):
b r��j�
4) TAXI PARCEL ID # (can be obtained at Ass: ssor's Offico:
5) SlCite FCTiO(Name, mailing address, phone as i fax #):
i
6 E OF ERECTION— 0 S
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STA]NMING SIGN
1.
SIZE (in sq. ft.): , f
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLi. MNATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
(if applicable):
_..__. Date: �.
/ Date: k
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DW this line
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Fee: 1'/ ) V anon: G 1?e, } Appr�a�e?
Code Officer Signature: -- -�� Date:
8) DATE OF DESIGN
9) Applicant Sidmature: K
10) Signature of Land/Building Owner: k
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