HomeMy WebLinkAboutPermit Permanent Sign SN-04-43 - SPILLANES SERVICENTERPermit Number SN- -
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City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name shpnpn�deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTION q 1
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out let r)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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 REVIEW APPROVAL (if applicable):
10) Applicant Signature: /L�c�v-� Date:
11) Signature of Land/Building Owner: Date: Zi G
.................................••.•.•..•..•.•....•......................•...
Do not write below this line
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Code Officer Signature
Date:
48 PM -3
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