HomeMy WebLinkAboutPermit Permanent Sign SN-04-55 - MERCHANTS BANKPermit Number SN- d -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER IOF RECORD (Name as shown on deed, mailing address, phone and fax #)
c n K ) lrlS nhe��/ . liAd.& r..(� `��oS M,<,
2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business name, address, &
timm6L
4) TAX PARCEL ID # (can be obtained at Assessor's Office) ,_!� �d - OD a�7
5) SIGN ERECTOR (Name, mailing address, phone and fax #): n1m� S ic:cy
7) DATE OF ERECTION
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
3 JD Q -4
TYPE OF ILLUMINATION:
AI,,,,,(
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
10) Applicant Signatur
11) Signature of Lan
REVI PRO L (if ap le):
e: Date: /
d/Building er. Date: Dy
!•i!!•iiiiiiiii•iiiiiiili!!!ii!•!i!!.!••!ii!!!i•iiiiiiiiiiiiiiN!!i!!!!liiiili!
Do not write below this line
l/iiiiNli!!!i!!!!!!N!!!!!!!!!!!i!!!!!!!!ii!!!N!!!!!!!!!!liiiiii!!!!!!!!!!!!
Fee: p lication: Rejected pprov
Code Officer Signature: Date.
l� ���
96"w x 24"h One sided sign
Dark green background with white raised lettering.
To be hung where existing sign is.
S NMMEL
S.I. G N
COMPANY
95 Chapin Road • Essex Center • Vermont 05452
TIT (802) 879-3360
I approve this artwork as submitted. I understand that any changes
or corrections after this approval is signed may result in additional
charges and I agree to those if necessary.
Approval Signature
Date
A
a