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HomeMy WebLinkAboutPermit Permanent Sign SN-03-68 - INTERSTATE SHELLDEPARTMENT OF PLAINTIUNG & �ZGTYDM 575 DORSET STREET :SOUTH BURL.INGTOI�T, VERMONT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- 0-3 Application for Pe anent Sign Permit 1) 0INNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) aILI 2) APP TCANT (Name, mailing address, phone and fax #) 3) SIGN LOCATION (include business name, address, & phone #): 4) TAB'. PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR 42C:5, 6,�� availing address, prone and fax #): 6) DATE OF ERECTION / 2 - 5 D 3 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) 12, e REE-STANDING SIGN 1. / � 8J? -�O SIB 2. 1 �s2�-y,'� ad OVERALL GHT: SIGNABLE WALL AREA (in sq. ft.):S 2 �, 1 TYPE OF ILLUIVIIN ON: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sig1wd noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW APPROVAL (if applicable): 7 - 2�4 O 3 9) Applicant Signature:, Date: !Z-S o-7�7 10) Signature of Land/Building Owner: e.� Date: / Z - pow®a�iaaso®o®me©meoafl®®©.e®000©®ae®®mue®aae.....aaeo©®....o©oa®®®oa®®oo®®a®o.eo®woes®oomoaeaeoo...... Do not write below this line ��sss��taae�vea®easeseeo����e�s�sa��®aae�r�,woe®eaoe®sa�:aaeoaseaseeaeaeeem©®assess®��s��a®o�ease6eee®+® Fee. "S 15, UJ Application: ElRejectedC[YApproved Code Officer Signature: �f .. Date: v/ Beyond The Point Of Purchase Page 1 of 1 Beyond The Point Of Purchase >>Shell Power Signs 2003 Enrollment...... • Order Period 3 (Child Watch) Enrollment on-line. • Order Period 6 (Holiday) Enrollment on-line. • Order for ALL PERIODS on-line. Friday, December 05, 2003 Print Screen Home I Close I Helu Z http://www.beyondpop.com/equiva/Promotion2003/sh_Enroll.asp 12/5/2003