HomeMy WebLinkAboutPermit Permanent Sign SN-05-43 - LADIES WORKOUT EXPRESS�3
Permit Number SN- w -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #): �-Pvp\e s
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): A 941~A _r'`�ki t:t \ f a
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7) DATE OF ERECTION as g P
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
SIZE (in sq. ft.):
2. OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): I TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN V W PRO AL f ap licable):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: Date:y Z 0
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Do not write below this line
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Fee: J A ication: e'ected pprove
Code Officer Signature: �'l.� Date: J
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