HomeMy WebLinkAboutPermit Permanent Sign SN-04-05 - WESTERN TOOL SUPPLYC
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DEI"PAP.T-/=1T OF PLAPIT14HINI T -U& Z ID D-TG
575 DORSET STREET
:SOUTH BURL NGTON, VEFUMONT 05403
(802) 846-4106
FA1'[(802) 846-4101
Permit Number SN- 6-
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ALD I Lor Permanent Sign Permit
13 0WNER jO�F RECORD (Na e .as shown n deed 111ailing address, phone and fax # 1
o V 1J l� Y vL •� 1� .� U Z)
2) APPLICANT (Name. mar 9 r2s. Dhone and fax #)
3) SIGN LOCATION (include business name, add pone
S, /?,,, /. Vl'
4) TAX PARCEL ID # (can be obtained at Assessor's Office) /A��c
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 6.1e Q
6) DATE OF ERECTION pZ
7) STGN DATA.
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STA- DING SIGN
such as panel or cut-out letter)
1.
? OWel Igaonvy"
YL6
SIZE (in sq. ft.):
2.
OVERALL %IEIGHT:
SIGNAELE AWALL AREA in
i rt.):
J
TYPE OF ILLUAiIINA T ION:
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NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign ana
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applica e):
9) Applicant Signature:,- )Date: oR
10) Signature of Land/Building Ciwn . SVDate:
Fee:
Code Officer Sic,l7nature:
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