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HomeMy WebLinkAboutPermit Permanent Sign SN-04-52 - LEWIS MOTORSLSE � '�'�'1e✓ITI T' i' 'DF PLAl J TITct^.T &' '.7 1\TJ TG 575 DORSET STREET SOUTH BU LLNGTO!° , 'VERIVIOPri 05403 (802) 346-4106 FA:C (802) 346-4101 Pern:it Number ,Si,T-�- � Applicadon for Pe=anent Sig Pe It 1) :OANTER OF RECORD (Naine as shown on deed, mailing address, phone and fax #) �Evy�s F�^^�L-mil 1�r1��►J i SNcP L. L—T. 21 APPLICANT {Na,-ne, (nailing address, phone and fax #) L.'P \,A1 15 3) SIGN LOCATION (include business name, address, & phone #): 13o t Sh4ELY-50+LPL) eE +ZvAt7, , —Pno 2uvJ -1-6 4) TAX PARCEL ID # (can be obtai,-ied at Assessor's Office 5) SIGN EF.ECTOF. (i�Tame, mailing address, prone and fax 4): £) DATE OF ERECTION Q�T, oZoC�!� 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STAI\.IDING SIGN such as panel or cut-out letter) 1. }4 / � f SIZE (in sq. ft. ): � 2. OVERALL HEIGHT: SIGNABLE 'WALL AREA ft. ): GJ TYPE OF ILLUI\ NATION: 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 REVIEW PRO (i cable): 9) Apnticant Signature Date:41111 9 10) Signature of Land/Buildin r: _ Bate: aea®eaacaow®Demo®oa�a®oaoo©a®oae�000000eaeoe®®ueewoa®000®aea4o®oeowuoaeor,®®a©a�oo®ooeao®o©ae000eaooeoa®e®oeo Do not write below this line 4asoa Fee: Code Officer Sig-iature: ❑ RogAe3% , 'Approved �' Date: �d �� .C,21�:- -LEWIS ACURA --- i�' 3if S E RVI C E i3aov.ct leiva G LAC a m gas � 2000 ftf 2 1344 ftf2-� �tnk c�t�aa.. rs. eem. i :.r+M.+•••ap+e ArM � iG"a VY��Mkrt we +ww w ±g `. saeadxi4 � S: a