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HomeMy WebLinkAboutPermit Permanent Sign SN-05-02 - NEW ENGLAND STEAKHOUSE2 DEP A � ,�TME 1 OF PI APTI INTG & 70I`TMIG 576 DOF.SET STREET SOUTH EURLLN(37011T, VE'FMONT 05403 (802) 846-4106 FA1a (802) 846-4101 Permit Number SN- ®� - Applicati on for Perm- anent Sig Permit 1) OWNER OF RECORD (Name as sho7A n on file d, mailing address, phony, and fax # 2) APPLICANT(Name, mailing address, phone 7. n I'PC : � h� %A. ri . I A ��i V �4 fax # 3) SIGN LOCATION (include business naige, address, & phone #): e t 6 4) TAX PARCEL ID # (can be obtained. at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, phone and fax #): b) SATE OF ERECTION _— o -1SIUN UATA _ WALL SIGNS (list size in sq. ft., illumination, type FREE-STANDING NDING SIGN such as panel or cut-out letter) I. SIZE (in sq. ft.'): 2, SIGNAHLE W4L, kREA (in sq. ft.): OVERALL FIGHT: TYPE OF ILLI:I�iaTATION: NOTE: A scaled rendering of each proposed sign mi7�-. i-e submitted ` y �.oiur or ttie sign and noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW APPRO VA:1 _ (ifapplicable): able): 9) Annli+want Signature: - Date: f Z 10) Signature of Land/Building Owner: -- � , t ( � ti Z���ate: �e®euaataoo®oN�e®®eaa©o®ooa®taoe)ooe�t�e©e�eacaer�®u®�ea�a®o�+ur,:�....>nca�amocacc�c�aoa©®cs��oo®cm38 rao�eoo®soo©o�®ooesm Do not write b : ow this sine Sagas+auoas�aeov€��j��q$q�aaoarayva�aaauae��'aewao�eeaao®oew-a:s:sasaaro3eac+seeNeoodna��nmaoe®ode cteaooes®®soww pPlieaticsn: r Rene ted prove3 Code Officer Signature: ' _/ 0 �--- — Elate: CHANNEL LETTER RED PLEXI 60LO TRIM BLACK RETURN 4 a W, CI. 34 T A 0 w Li.