HomeMy WebLinkAboutPermit Permanent Sign SN-04-51 - SAFFIRE REA;L ESTATEl 1:tiL,1 'G T �y
DEF' RTMEET,TT OF PLA TTPT?,i`TG vw 7,'01\TJ PTG
J i v LORSET S 1 BELT
SOUTH BU LLNGTON, 'SERMON 1- 05403
(002) 046-4106
FA_:-i (802) 046-4101
Per►nit Number 1\T-,0y
ppiicatic for Pe 1 � a-nent Sign Permit
1) O vl, i TEs- OF RECORD (Name as shown on deed, mailing address, phone and fax #
2) APPLICANT (Nance, mailing address, phone and fax #) 5AFC-1 tLE Nl t�21 e,�Yt� � /�v L
S
�s
3) SIGN LOCATION (include business name, address, .,& phone #):
4) TAX P A-_CEL ID # (.an be obtained at Assessor's Office)
fZ(-/<vr,1aN, ✓ ( ,
� C)-3
5) STGN ERECTOR �;1-Tame, mailing address, phone and fax #): KF4Sa KNE_� D G(V,'
6) DATE OF ERECTION d c. r 2 b c)L-(
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & tygeFREE-STA1\TDING
such as panel or cut-out letter)
SIGN
1.
SIZE (in sq. ft.):
2• -
OVERALL HEIGHT:
SIGNAELE WALL Wsq. 1):
TYPE OF ILLUMINATION: �
NOTE: A scaled rendering of eaEh proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Simatur..:�i+-�� Date: 9-%P o
�� dAgk
10) Signature of Land/Euilding Owner: !llAYd Date: �-2,-�- O
:ode Officer SiT_�mature:
Do not rite below this line
Rejected [4/Approved.
date:
G & W Gibson Promotional Products
Kershner Signs
29 Myers Court
So, Burlington, VT 05403-6410
802-864-4791
V
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