HomeMy WebLinkAboutPermit Permanent Sign SN-05-06 - O'BRIEN HOME FARMSi )
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Permit Number SN- 0 S -
City of South Burlington, Vermont
Application for Permanent Sign Pernut
1) OWNER OF RECORD (Name as shown on deed, mailin address, phone and fax #)
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I) j— o 5,40 7
2) APPLICANT (NaAA
mailing address, phone an fax #) CXa,9v • 1,�10
3) SIGN LPCATION (include business name address, & phone #): v
rl 5A-traH. 4 /o t Db o� i ✓e
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SI:GN ERECTOR (Name, mailing address, phone and fax
7) DATE OF ERECTION1�5/�Z
R) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SI�E (in sq. ft.):
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2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
/'/
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REV;51
APPROVAL (if applicable): A_!/
10) Applicant Signature: Date:
11) Signature of :Land/Building Owner: 7 Date:
Do not write below this line
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Fee: lication: Rejected ppro
Code Officer Signature: Date: C/ ��
COMING SOON
\O'Brl*en Home Farm
Phase
w.obrienbrothersatency.com
O'Brien Home Farm
Phase III
www.obrienbrothersagency.com