HomeMy WebLinkAboutPermit Permanent Sign SN-04-48 - SOUTH POINT1) v
DEPARM%4ENT OF FLAB T \T:TILT 7J01\TPTG
575 DORSET STREET
:SOUTH BURLLNGITON, VERY10PT-7 05403
(802) 346-4106
F�-2C (802) 846-4101
Permit Number SK- 4 1 - CIA
Application for Pe � i anent Sim Pennit
OF RECORD (Naive as shown on Bleed, hailing address, phone and lax #)
2) APPLICANT (Name, mailing address, prone and fax #) �%� ��s�4,,1,24 1/ L/0
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtaiined at Assessor's Office
5) SIGN ELECTOR ONTame, mailing address, phone and fax #):
b) DATE OF ERECTION &4L, ,, . 0-60
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
G S
1.
SIZE (in sq. ft.): ZO
2.
OVERALL 11EIGIIT: �
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
v
NOTE: A scaled rendering of Pach proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REytgW APPROV4/of applicable):
9) Applicant Signature:
10) Signature of Land/Building Owner:
Do not write Mow this line
�aa®aaeeeeaaaaa®es ggsoe®9aas
Fee: '
Code Officer Signature:
Date: 7 0
Date:
YApproved
at,
sign face= 5' or 60"
U
stone column= 1.5'or 18" > < stone column= 1.5'or 18" >
TOTAL= Wor 96"
Sign Sq. Footage= 20 sf. (8'x 2.5)'