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Permit Permanent Sign SN-05-32 - HAIRCRAFTERS
E E)E1 A TM..rE1'T T OF PIANIN;Il IG & ''0I\TPTG 575 DOP-19ET STREET SOUTH BURLLNGTON, VERMONT 05403 (802) 846-4106 FAX (802)846-4101 Permit Number SN- cs - Applicat -c for Perr-nanent Sign Pull Q'v�'NER OF RECO (Name as shown on deed, mail�P6 address, phone and fax #) firee r �-ea— �m nat)b i -eS , %� 1 21 APPLICANT (Name, mailing address, phone and fax 3) SIGN LOCATION (include bus ss name, address & prone #): ?-. ( +yeA S S'�-6 n d • I _ n 4) TAX PARCEL ID # (can be obtained at Assessor's Office) / g / 5) SIGN Eli 6) DATE OF ERECTI 7) SIGN DATA dame, mailin address, phone and fax ft ` n ca a-� IC _, 1 i AJ C4ti. -? i Tb I RcA BP- S-t-'DV-t-" 4q� WALL SIGNS (list size in sq. ii., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 1. -a <• >--, a S,/ - SIZE (in sq. ft. ): 2. r Pa ac s : ►r. ej OVERALL HEIGHT: Is x7v $r S -rt SIGN ALL AREA ( sq. ft.)/ C,( I ca TYPE OF II.,LU NA ION: NU 1'1 A scaled rend pfing 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 APPROV (if applicable'): 9) Applicant Sianature. Date: & a/ Za 5— 10) Sig -nature of Land a uildin Owner:: Date: a.?,'' oe+aauaawdao�adaeoodaoa®ooc�ooae,00ae�o©®eouar�®umaec+,aeo©o®oaa0000e euoae000aaaaooeou•�s000000eo�aeaaoaoaoeoeao Do not write below this line -saeaaa is �daeeaa..............aaa.a.•a.ad.o.aeoroo..aaaae...aa.eaaoeesa.aaa9a...a edA soe.an......... Fee: ' UCH Application: ❑ Rejected pproved Code Officer Sicniature: Date: 1 jl- 4 iv,1ki �c b ack3 w- rid blur tctm:�, m