HomeMy WebLinkAboutPermit Permanent Sign SN-05-01 - DUNKIN DONUTSCITY OF SOUTH BURLINGTO1,
DEPARTMENT OF PLAI'INffNG & ZONE1 TG
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-_&r- q 1
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
Me rrl I I Iry C5 ia;ao W i I l i t,17;An � j So .8u dl'��,Q±D n �X617 0 5403
11___ n l.Jric.c )-cc PJ- i>-J Sc/ 0 - -7._j
2) APPLICANT (Name, mailing address, phone and fax #) n �nda, ?0-114932b
garJ,i; VI: 0.1747 80Q-6,594is7 cell,# sv0k-734-a595
3) SIGN LOCATION (include business name, address, & phone #): nQ rn Kl r-iJ)w,
I2:10 Ili 111-5f0r) RA V r 0540-'S Co58-�i15�
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 10 - 0 I a.-:;ZoC.
5) SIGN ERECTOR (Name, mailing address, phone and fax #): Ke
l 5� orvl-nQAfi-A, vi o s Go I Sod • _-Q 3 • o a 51
6) DATE OF ERECTION
71 STGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1. �
� SIZE (in sq. ft. ):
�i
2.
OVERALL HEIGHT:
j SIGNABLE WALL AREA ( sq. ft.):
I TYPE OF ILLUNIINATION: J
NOTE: 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 RE
9) As"iirapt Sign
10) Signature of Land/Building Owner:
SOOWOi®Y339A®8®�t a:
Fee: b
`'ode Of cr„ r Signature'.
'A (if applicable):
Do not write below line
tcatton:
Date -
Date: l /// /GI�J
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