HomeMy WebLinkAboutPermit Permanent Sign SN-04-21 - CP STEPPING STONESFROM : City of So. B
FAX NO. 1 802 658 4748 Sep. 11 2003 11:01AM P2
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675 DRSET STREET
SOUTH B URLENTGTON, VERMOi�,T T 05403
(802) 346-43.06
EA2b (802) 846-4101
Permit Dumber SN 6 � -� /
Application. for Permanent Sim Permit
I) OWNER OF RECORD (Namie as sho Am on deed, rnailing address, phowa and fax #)
C)AAS1 PRcP6RT1tS t DEvy_LoP � I V;V A\R!"OR-7 DR So, _QsuR�l►Jy�^�
dT oS403 (,k8 - 6P3 2_0
2) APPLICANT (?game, mailing address, phone and fax #) C EN 4� �?a1 ►�i' AI�LE1 Le NT
T*teATH'ENT SERV%CeJ 102.9 AIRPoiiT ARIv6. So. �V/tL1N(�Nr1 OJT OS�103
"4F- - (060 • 0 %21 FA -A : (c(910 - 0 )32
3) SIGN LOCATION (include business name, address, &- phone #): 9 2- AN 12t'oA -T AN-1
So- ✓ i
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (i lame, mailing address, phone and fax #): Ce*�� �o�,�T � AS
A3ov¢t
6) DATE OF ERECTION "f h3%->. U PD h1 AP PU CAM OK) Aptl0 \)' i--
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, 8t type
FREE-STANDING SIGN
such as anel or out -out letter
I .
I Z Sa r� PA^►>GL 5� �� w►
SIZE (in sq. ft. ):
2. NO
OVERALL L HEIGHT:
SIGNABLE WALL AREA (in s4_ ft-)-
TYPE OF ILLUMNATION:
5 %0 b'F :'v Sw Wf = 30S sa C-<
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 plicahle):
9) Applicant Sipature: Date: i / 0 a
10) Sigmas of Land/Building Own �—Date-
- -- -- --- -- - - --------- _..----------------------
zee -
Code Officer Sip, at=:
not write Wow this line
Reject F'Approved
Zk Date:
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building a safe community that promotes
exploration, understanding, and opportunity
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