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Permit Permanent Sign SN-05-44 - MP103.3
i c/ Permit Number SN- City of South B�wlington, Vermont Application for Ptnnanent Sign Permit 1) OWNER OF RECORD (Name as sho on deed, mailing address, phone and fax #) C vk1w►t4 ,"'A , L C 16,1 12r�er S o l- ; jilj4h pi1 & I/T OSG(,Z 2) APPLICANT (Name, mailing address, 3) SIGN LOCATION (include business '1�,� ,� ,� ✓� i era _ � � :a.-, 4) TAX PARCEL ID # (can be obtained at S) SIGN ERECTOR (Name, mailing addre and fax i�,-/9-k,6Mr� P6� ) address, & phone #): )Oysc,� C-inkn "l)� ,i)) LL C � � `tf -961,114 is Office phone and fax 7) DATE OF ERECTION 8)SIGN DATA P,.__._ d f�_I,,, - - - WALL SIGNS (list size in sq. ft., illumination, & typeFREE-STANDING , SIGN such as panel or cut-out letter 1 SIZE (in sq. ft. ): 2• OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.)- TYPE OF ILLUMINATION: a:. a a%o i cuuei uig vi earn proposes sign noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW APPRC 10) Applicant Signature: 11) Signature of Land/Building Owner: _ ew000e©oweeeooeeeao©® Fee: _ Code Officer Signature: i st be submitted ulustratmg the color of the sign and J (if applicable): Date: G� '� Date: Z �e�se000eoeeeeso®oo©eeeeeaeeoeeemeeeo®®eom Do not write; below this line ,.vvv..ovvvvvvvvvvvvvvvvvvveeeoeoeeeoeoe0AO9®ee00Aoveoe®o Ap ' tion: 0 R * cted f;'A roved PP r / Date: 3073 Williston Road, South Burlington, VT • Phone 863-6233 • Fax 863-6324 ;Io )l 45" x 84-1/2" cabinet 45" x 84-1/2" cabinet