HomeMy WebLinkAboutPermit Permanent Sign SN-05-25 - PALACE 9FROM : City of So. S
FAX NO. : 1 802 658 4748 Oct. 17 2001 03:40PM P2
CITY OF SOUTPI BURLINGTON
(DEPARTMENT OF P1,4dNND-1G & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 84.6.4106
FAX (802) 846-4101
Permit Number SN- 060,- 0 D�.J
Application for Pern-ianent Sign Permit
1) OVINER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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PPLiCANT (Name, mailing address, phone and fax #) v�Jen n �`��""�`�`' @barI -sy"i
3) SIGNN LOCATION
ai-.-ae..e.
:lude business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office
51 ' iV ERECTOR (Name, mailing address, phone and fax #):
6) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STAiNDING SIGN
such as panel or cur -out letter
1- j js 1, W bn o I "Y -'L ( fi'rs I SIZE (in sq. ft.):
2. qa 7�fl OVERALL HEIGHT:
SIGNABLE WALL ARBAf (ire sq. ft-) R�TYPE OF ILLU.MMZNATION:
NOTE: A scaled rendering of each proposeo sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
S) DATE OF DESIGN
9) Applicant Signature:
10) Signature of LanouildIng Owner.
(if applicable):
' Date:
Do not write below this line
Date:
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Code Officer Signature: Date:
11/11/2004 20:43 9547039694 MILOT P-GE 01/01
Attention Town/City of South Burlington, VT
Street address:
Date: April 26, 2005
My/State/Zip:
........................................•.................................................................--...................................................................
- Landlord Authorization Form -
FORM MUST BE SIGNED BY OWNER OF PROPERTY
ZAsownerof 10 Fayette Drive
(Property Address)
1 hereby authorize Jennifer Robichaud / Kris Loughlin / Carol Sugbee / Hazel Hopkins,
or an authorized representative of Barlo Signs of Hudson, NH, to APPLY FOR SIGN
PERMITS for this site. _ - n - -
Owner's Signature:
Owner's Printed Name:
Owner's Address:
i'
••rrrrrrrrrrrrrr■•■rrrrr■■r.■■■•rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■■.�.
As owner of
(Property Address)
1 hereby authorize Jenn Robichaud or Authorized Representative of Barlo Signs of
Hudson, NH, to APPEAR BEFORE THE PLANNING BOARD andfor SIGN REVIEW
BOARD and/or the ZBA for this site.
Owner's Signature:
(Owner)
Owner's Printed Name:
Owner's Address:
■rrrrrrrrrrrrrrrr.■■■■r■�r.rr.■■■�wrr•rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrri
Reference JOB NAME: Palace 9 We cannot apply for permits or hearings until we receive your
authorization. PLEASE, (1) FAX BACK to fax # 603-882-7680,
Reference Job No: { 0-6 7J� I Attn:
AND (2) MAIL ORIGINAL TO:
Barlo Signs, 158 Greeley Street, Hudson, NH 03051.
If you have any questions, please call me at 1-800-227-5674 ext_ 387
THANK YOU]
Filed: (T)Ternplates/LLARequestForm / Rev: 3-10-04
No Text
W.O.#:
MANUFACTUKE & 5HIF:
I'G 9• ITEM B
N( )ALL!51GN
KECEIVE & IN5TALL ABOVE ITEM5
f AINT & LATCH A5 FEQ' D
LETTERS
Returns: BLACK 15EA
Face: 2793 RED
Tr' �ACK
Neon: CLEAR RED
7bn
N1
1 13 3/4" MAX 57,0KE
a
32' -4"
2'/z" MIN STROKE
13'/2" 5TROKE
Circuits
Amp
Voltage
U.L.
Size
Length
W. Thickness
Stub Size
Stub Length
W. Thickness
PLATE W L Th
GUSSETS W L Th
ANCHOR BOLTS L HOOK Dia
Depth Width
Yds.
BARLO:
BARLOMEX
Length
1 1
SIGN DISP[]Store for Barlo ❑Leave @Site ❑Dispose
❑ Store for Customer ❑Chargeable N/A
5 1/2" STROKE
ITEM P NGL' 5 ON EXTEKIOR WALL------------------------------
5CALE: 350' = 1' -0" 90 5 f`t !
_ _ _
❑ Proposal ❑ Drawing
El Deposit ElL.L.
El Permits ❑Crew W/0
Signature Date
ALL COLORS ARE FOR REPRESENTATION ONLY.
SEE ACTUAL SAMPLES FOR COLOR MATCH.
ALL FINISHES TO BE SEMI -GLOSS UNLESS OTHERWISE NOTED
Type:
Mat:
Ret.Size:
Box Depth:
Date Released
for production: By:
Job Name: PALACE 9
i,
i,.
NS
158 Greeley St., Hudson, NH 0.
(603) 882-2638 Fax (603) 882-7680
Face Mat:
Thickness:
Copy:
Rev.#
Date
Descri lion
To Shop
To Mex
location: 10 Fayette Dr. 50. BUKLINGTON, VT.
Pole Cover Mat. Hgt:
Depth:
r :
Drawn By: LT
��Underwriters Laboratories Inca
Interior Exterior
Face -Lit Back -Lit
Drain Holes Y NClient:
�
Sales Re p BB
Face Mat: FLEX Th: 3/16"
Return Mat: ALUM Depth: rJ
Landlord:
Date:
4/26/05
GENERAL INFO.
Mylar Size: 1'' Back Mat:.063 ALUM Neon Rows: MM:
Trans. Location: REMOTE 30MA 60MA Wiring: '/2 BX ' 2 Ligtite Wireway N/A
Housings: Glass Pk's Dbl.Backs N/ Mt . Nut Sert Thru Bac < Clip
9 9 p
Engineering:
rate
'roduction: Estimating:
«) COPYRIGHT 2005 THE BARLO GROUP
THIS DESIGN IS THE PROPERTY OF THE BARLO GROUP, ALL PRODUCTION AND DUPLICATION RIGHTS ARE RESERVED BY THE BARLO GROUP.
THIS PRINT IS DESIGNED FOR YOUR PERSONAL USE AND IS NOT TO BE USED OUTSIDE YOUR ORGANIZATION 08 EXHIBITED IN ANY FASHION
_
-I � jj�
""=-- '''
File Name: Palace 9 DJOZF39�J�
Qty: O N F
Sq. Ft. C) n
02-89 Rev 2
SHEET 2 OF 2
OS/F D/F
ILL. Non -ILL
Check By:
,urvey: Sales:--y