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HomeMy WebLinkAboutPermit Permanent Sign SN-05-48 - SUPER 8 MOTELi7 J 101ATNEIR OF ��- ^ITS' 1 (''i 0-' I i T• D �PARTP!�1' 7i 'SLR PLA1�.Ti\TPTIG vet 1d�I'T C`Tu 576 DORSET STREET SOUI-H BT:JI3LLNGTON, VEEDf,'0P T 05403 (802) 346-4106 F'P2-k (802) 346-4101 Permit Number SN- '0 /(/U Application for Permanent Sign Pet it CORD (Names shownon deed, mailing address, phone and fax #) 2) APPLICANT (T11 icing address, plio-ic and fax #)_ q �S ®� l %'� 51 3_ .3 ? % 3) SIGN LOCATION tin e business name, address, & phone #): 4) TAN PARCEL M # (can be obtained at Assi--ssor's Office)_ 5) STQP ERECTOFft',lame, mailing address, plront. and fax 9): 6) 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) 1. SIZE (in sq. ft. ): �S 2. OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE �I� IlNA�'I('N: � NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW APPROVAL (if applicabie): 9) An licant Signature: Date: 10) Signature of Land/Building Owner: — �U � A A, Date: �e�w®uoamaaaa®aeswa®a�©a4®aa©®oeooaaooasc;o9ea®ufla000ewaowraoaaaaooe®u®ueooeasu®�v©aoo��aeeaoaooaoowaaoo3®o®®ec Do not write below this line a�aaaa.�vesoaaaaas��aac�a3am&€�aAaoaaw s:.�a ae,e�.aas�uaaaaa®aaasae�o��amPa�9wa���a•as �aaaae�o�saa��sa@a� .Fee: S icatio : e' ted r Ai) Code Officer Signatu : __ _ riat t: _� � ti V N c . . . . . ........ 1a� d � � � � � ' •; r� I � � i. �' ' � of •�� .�f� ., „n•N, � i�r�. ^+•+IwHyw �•�w'-'i�yri�i vi� � ~ �rMl1.-w.AwrW..rA_+.r Jo *D kA�v Pi1tV�11. 4r. 4n+4'imK�1 T Ci ci t7 o L] 0jj o? "y.7k51ilib'lW5�1 Ar h 4 k.;::G.B rs ,.timnw , vs . ,.. vr..rn; 7'D