HomeMy WebLinkAboutPermit Permanent Sign SN-04-02 - SMART HOSPITALITY, Yd f 0,* 't Ou -1 191j; t) , VO:e'-�t)ULTJ -Jd !ZMAk I HU;)'t-'l ! ALI I Y IN PAGE 01
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SOUTH BUP1XNGTT0N, VE?,mcNT 05,joj
,802) 846.4106
?A;C'(802) 84e-4103
Pirmit Murnlw SX-
Application for Permanent Sign Permit
1) OWN OF RECORD (Name � shown on :seed, mailiag address, p$onc and fzx #)
21) APPLICANT (Name, mailing addrcs.%, phone and fax
3; SIGN UrCATION (include t7usiness nurse, address, & phone
4) TAX PARCEL M # (wn be rjbtai ned at knessor's Office) / - -
5) SIGN ERECTOR (Name, malting address, phone and fax 4), ;,0 (V61) 2 X2 -0-154
6) DATE OF E".CTION
SIGIN DATA
WALL SIGNS (Ustsizeinsq, it, muuIAwioyL&t.ypo jFREE-STA
SIZE (in sq, ft
OVERALL HETO
SIGNABLE "TALI, AREA (in V4. Ift) I yp OF U-1 ON'
'NO.TF ,k sCeW mderitS of each ptopowO sign
rmst be siItted Uh W 8 the W-,5f—ffic sign &ad
notmir da tSmmswm of each siga.
Z8) DATE OF DESIGN FXVXT- W .0PROVAL (if applicably)_
)f 9) A.rqbcant Signatum Dutcl CJ
X 10.) Sigwtum of Land/Buildiag Gamer.
Do not wry" Um
Fee. Amituvion, 5 F.cdcte'd 7eApl:tov
'Datc: I- tz-L CL� Ll
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