HomeMy WebLinkAboutPermit Permanent Sign SN-04-63 - NORTH COUNTRY FED. CR. UNION-:)?F+' PL&� Tl`TL'JG " r;01`TP-T4`.-.
575 i.O SET STRLET
SC)CIM EURLZNGT0N, `TER1v10P 05403
(802) 345-4106
FA -r (SC2) 346-4101
Permit Number SN- -
Applieation for Pemi anent Sign Permit
1) O v4 lER OF RECORD (Maine as shown Oil deed, mailing address, phone and iax #)
2) APPLICAN-T (-lame, mailing address, phone and fax #)_�G� �s SM/ni
�Vv,ery w,a••.;7
-701
L4— S. y O -�
3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL 1D # (can be obtained at Assessor's Office) 1*70 0 _- 0 ° 0 67 -
5) SIGN ERECTOR CMame, mailing address; T)lone and taxI r��ai� ar.G,
y-
5) DATE OF ERECTION
u 1/111 c, iTA i
/, 01.J1 1r-L i IV%-- V .
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN -�
such as panel or cut-out letter)
1
SIZE�(insq. ft. ): i
CIA out aF4c,P' �
2. �eacl
OVERALL HEIGHT:
(�tz s s a� Cruel
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF U_LUNJINATIOI T:
'u_ _ .1-- ....1...• nF+ho cunt and
NOTL: A scaled rendering or eacn proposeo s►S11 uiusL JJU auui,uL.�u
noting the dimensions of each sign.
8) DATE OF DESIGN RE WVAL (if applicable):
9) Annlicant Signature: ,� 0 .5 A(.-PU Date: 1A1,
r
10) Signature of Land/Building Owner: &m6tilM.FL.0 Date: z 15 c
____ ............ _- ..n,...... _ ,. or,ec,n000000000o00Ov000 OODOIyo0U8owoi,o000000
+ves�oo f000ea�ooss ooeaoeaonooaoao4o
Fee:
Code Officer Si
not ;Trite below this line
0000aooenowoeowoa0000eoowoo+
atio/ ,l 0
oaoone0000e�oo
O/Approve3
Date: ��
NORTH COUNTRY
FEDERAL CREDIT UNION
N CFCU
ATM RELOCATION CONCEPT
69 SWIFT STREET
SO. BURLINGTON, VT 11811-04
COLON P. LINDBERG, Al