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HomeMy WebLinkAboutPermit Permanent Sign SN-05-27 - HAIRCRAFTERSMEDA RtTIVETE A ,0 F' PLAP 114E IG & Zi C114 G 576 DORSET STREET SOUTH BURL NGTON, VER,PfONT 05403 (802) 346-4106 f+' X (809) A48-4101 Pern.it Number SN- Application for Pe ..anent Sign Permit Tv1r1IER OF RECOIZ,T� (Name as spawn on deed, mailing address, khane and fax #) 2 APPLICAN-T (Narne, mailing address, phone and fax #) gc'Qa4"�.e $L_ l.. C, 1 l>v D4 ,11, s o , I S-Tv , UT 0:�yt43 'W7j,': �— 4S. - 51'I i 3) SIGTd LOCATION (include business name, address, & none #): 4) TAX P_ F CEL ID # (can be obtained at Assessor's Office) 0 t�l 3 ERECTX (Marne, mailing address, phone and fax #): L^ d% G W111. .-Is - -46 DATE OF i 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREE-STA)11DING SIGN 1. / /� �u -� ©�-' FS psi " SIZE (in sq. ft.): - V in ins 2. OVERALL HEIGHT: SIGN ALE 'WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: !0 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 REVIF�uV APPROVAL f applicable): 9) Annlilcant Ii--nature- gate: 10) ;Signature of Land/Building :owner: Date: oaaeu.aamooeeaac�®oe€aoo©000ao®c 000e.o®b®ye........aeoe®ooaooa®a®auoueoo©®ao ....................o©oaoo©®®o Do not write Mow this line �o�:aBanm�e�vaac»�s �aa3�n^.��asaaooeavaaa�aaaas€+®ow�o��aaaoaao��abesraa��aana2es��sa�9e;aes aaeaeaogwaa�ae�a. plication: r- Rejected ✓-pproved Code Officer Signature: ` Date: kF r', I 11--1 b-7w b-7,6 b