HomeMy WebLinkAboutPermit Permanent Sign SN-05-12 - 1150 WILLISTON RD575 DORSET STREET
SOUTH EUIRLLNOTON, VER&IONT 05403
(802) 346-4106
F,A2> (802) 04+6-4101
Permit Number SN- O's -
Application for Permanent � � anent Sign Permit
1) 01,A[NER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT {Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business mane, address, & phone #): 4/dj--
4) TAX PARCEL ID # (can be obtained at Assessor's Office) (8 1y — Q 1 \ 50
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
5) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
F i`'E-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft. ): 4
12.
OVERALL HEIG
SIGNABLE WALL AREA (in sq. ft. ):
TYPE OF ILLUIViINATION:
NOTh: 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 REVIEW APPROVAL (if applicable):
9) Applicant 7igrlature: —'4M�
10) Signature of Land/Building
Do not write below this line
Date:
Bate: 3
Fee: v lication: ❑ j cted [/Approved
Code Officer Signature: d— Date: / 6y
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TENANT
NAME
PANEL
TENANT
NAME
PANEL
TENANT
NAME
PANEL
TENANT
NAME
PANEL
FREESTANDING
SIGN
" 10" deep aluminum cabinet.
Lighted with four vertical
High Output fluorescent
lamps. UL Listed. Painted
• Four individual white
acrylic sign faces per side,
separated by aluminum
divider bars.
Translucent vinyl graphics.
• 3" x 6" steel tube supporting
structure, painted.
D sign Signs, Inc.
644 Blair Park Road
P.O. Box 1048
Williston, VT 05495