HomeMy WebLinkAboutPermit Permanent Sign SN-04-38 - BROOKWOOD ACADEMYDEFAF TIWEPT 1' C)FP'.I AiINTIH-`TtG & Z-10NDTG
575 D'ORSET STF2ET
SOLID BURLLNGTON, EB'NIGNIP 05403
(802) 846-4106
FAX (802) 846-4101
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Permit Number STT-�-- � D
Application for Pc lancet Sign Pc it
1) OWNER OF RECORD (Name as shown on deed, trailing address, phone and fax #)
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2) APPLICANT (Tame, mailing address, phone and fax # VIE
3) SIGN LOCATION (include business name, address, .9- phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, prone and fac #): O w lrt 1rL
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6) DATE OF ERECTION
7) SIGN DATA,
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WALL SIGNS (list size in sq. ft., illumination, & type
FIZ+ E-STANDING SIGN
such as panel or cut-out letter)
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1.
SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
SIGNABLE MALL AREA (in sq. ft.):
TYPE OF ILL I.TI+iIINATION:
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 APPROVAL (if applicable):
9) Applicant Signature:
10) Signature, of Lannd/Building Owner:
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Date: l l0
Bate:
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