HomeMy WebLinkAboutPermit Permanent Sign SN-04-44 - SUPERCUTS08-23-04 03:25Pm From-ACADIA REALTY TRUST SIST678834
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375 DORSET STREET
SOUTH BURUNGTO1N, VERMONT 06408
(802) 841$.4106
FAX (802) 846-4101
Permit Number SN- D L(- 1
Application for Permanent Sign Permit
1) 0Vi!_'_4E M OF RECORD (Name as shown on deed, mailing address_, phone and fax 4)
A.4 .� Qor 1 �. "Ci., t� i'�ii t'ir,c. _ . _ t cLk A%.. 1.1L.�e ►� ., a n!i I d 60S
2.) APPLICANT (Name, mailing address, phone and fax #)�y
3) SIGP7 LOCATION (include business name, address, & phone 4). S MCC,,4S__ ___
Cxi¢ti- �j Qc1,i1FAe Rd _ �Q�jl--
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and Fax #): �Il,.-,�S" S%on
$) DATE OF ERECTION,,
7) SIGN DATA
WALL SIGNS (list size in sq. ft.. illumination, & type
FREEST
1 �] lob C�,c.,r�l 12i4ers tacR � f SIZE (in sq. ft.):
} 2. A I , `S I O VLRAii, HEIGHT,
SIGNABLE WALL E (i . sq. ft.): I TYPE OF ILLUIVIINATIONI:
I '
,NOTE' A scaled render*of each proposed sign must be submittal Wustrating the cator o* the sign oral
noting the dime ons of each sign., off" r ,�;+3' 10,.b
8) DATE OF DESIGN REVIEW/ APPROVAL (if applicable):
cl Applicant Signature:
- —10) Signature of LandSwi
Fee �—
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