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HomeMy WebLinkAboutPermit Permanent Sign SN-03-66 - NEW ENGLAND DELIVERIESDE A-R. TBAL EN T '_-)F 1PL I\\TIN [FJG & E ONHq 575 DO SET STREET :SOUTH BU LIN TON, *: E R FONT 05403 (302) 546-4106 FA1s (802) 846-4101 Pern.it Number SN- 0;_ Applic-.atio for Permanent Sign Permit 1) 0`Y4 NER OF RECORD (Name as shown on ;:feed, mailing address, phone and fax #) ��iV1q D►n �V1 trrticw�iono�i ;d'1(Ja✓ Saa- 6 -r�$7y IabO 5o, VT. r��ynz 2) APPLICANT (T.Ia=ne, mailing address, phone and f,7. # 3) SIGN LOCATION (include business name, address, & phone #): �D6o W1, s+vr Rood -i New Fh91 4) TAB'. PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR 6) DATE OF ERECTION 7) SIGN DATA W4eo B 0 ✓G d WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREEE-§JANDING SIGN 1. SIZE (in sq. ft.): 2• i OVERALL HEIGHT. SIGNAELE MALL AREA (in sq. ft.): TYPE OF ILLUIViINATION: _NU l E: 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 APP OVAL (if applicable): 9) Anplicant Signature: Date: lJLZy 03 10) Signature of Land/Building Own Jj'�� Date: Z /G1 L3 1i ae®eaa�a4oe®eedoeameeoBoowa®oeao®ae©Dees®sae®eaooae000®ooaoo©oae®Dose©cace�c� o®®eAesoe®©oe000esmeooa®oases Do not write below this line / ee66saraeae .a a.eaea®aasoos.... ' Fee: / A ation: ❑ acted Approved Code C?�,�cer Sig. -nature: v`�' 1�►-�, Date: Ilz 3060 Z0__- vse pause Qe.51�ns U.�N RTS • Co van Ya c, vu f C `� WA, �IU�AX e*S -*N �F— Prp�os-Ld S�o�r �or NQVilit �Y�q�a.n0 QC��VCr� C S � 11