HomeMy WebLinkAboutPermit Permanent Sign SN-04-19 - BLUEPRINTS ETCPermit Number SN-C- ' -/ q
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, hone and fax #) S i 0.
1 5 4` -S ' r Cat' l
3) SIGN LOCATION (include business name, address, & phone #): S4-" L^
1, Y .r. E T-Y fi sa— S , B �. Ur 565 q5o 3
4) TAX PARCEL M # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):�
7) DATE OF ERECTION -T 'g'1_)
8 SIGN DATA
WALL SIGNS (list size in sq
such as panel or cut-out letter)
1. P/ A
2. �J/4
ft., illumination, & type I FREE-STANDING SIGN
SIGNABLE WALL AREA (in sq. ft.): i .��
SIZE (in sq. ft.): 40
OVERALL HEIGHT:
TYPE OF ILLUNIINATION:
4A
NOTE: A scaled rendering of each proposed sign must be submitted
noting the dimensions of each sign.
the color of the sign and
9) DATE OF DESIGN REVIEW APPROVAL (if applicable): P/A
10) Applicant Signature:
Date: I 5 f �/
11) Signature of Land/Building Owner: Date: 1/-//s/o `'l
Do not write below this line
Fee: Application: ❑ R /%
APP effected C3'Approved
Code Officer Signature,. ✓� Date: i l
FARRELL STREET
BluePrints Etc.
do
Works in Progress
Dimensional Sign
48"x6O" Sign with Removable ID Panels
BWEPRI14TS ETC.
WORKS IN PROGRESS
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