HomeMy WebLinkAboutPermit Permanent Sign SN-05-26 - DURBROW ASSOCIATES_ E E4UIVIETITT nF PLA1 Tr,T,JCT ST, ";ONMTG
575 DORSET STREET
SOUTH Dl`TELLNGTO11T, VEE,MOiTT 05403
(802) 846-4106
FA2(802) 346-4101
Permit Number SN- 0'-
Application for Pe=anent Sim Permit
1) O YVINER OF RECORD (Name as shown on deed, mailing address, prone and lax #)
2) APPLICANT (Mane, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & hone #):
�26 0-1Ar �4tocIA��3, 1� C0 s- 4���
4) TAX PAP_C'EL ID # (can be obtained at Assessor's Office) 0-62 1�0— " 40
5) STON ERECTOR (Nlame, ]flailing address, plione and fax #):
b) DATE OF ERECTION tins A P-TE,42!- ,t PP2,6vA-t
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, 8,- type
such as panel or cut-out letter)
FREE-ST A1�]1D. ING SIGN
1. �
SIZE (ill sq. ft.):
2.
� OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMNATION:
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 RE I APPROVAL (if applicable):
9) Ap licant Signature: ( Date: 6f t
10) Signature of Land/Building Owner F' Date:
Fee:
Code Officer Signature:
Do not write below this line
ected VApproved
Date:
V17—
mFm-ARRELL STREET,
DURBROW ASSOCIATES
ENGINEERING CONSULTANTS
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