HomeMy WebLinkAboutPermit Permanent Sign SN-05-17 - HAIR EXPRESSPermit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RE99// D Name as shown on deed, mailing address, phone and fax #)
2) PLICANT (Name, ailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone #): �" {� 3
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION
8 SIGN DATA
WALL SIGNS (list size in sq, ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
I 2—
SIZE (in sq. ft.):
2•
OVERALL HEIGHT:
SIGNABLE WALL A (in sq. ft.);
TYPE OF ILLUMINATION:
NOTE A
rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) a �ATE OF DESI(N REVIEW. APPROVAL (if applicable):
10) Applicant Signature: ( Date:
11) Signature of Land/Building Owner:: �_'� Date: h /615-
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Do not write below this line
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Fee: J
A on: ❑ Re* ted 12/Approved
Code Officer Signature:. Date: �11
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