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HomeMy WebLinkAboutPermit Permanent Sign SN-03-60 - CJ'S BARBER SHOPCITY OF SOUTH ; UI LINGTOIN DEPARTMENT OF PLANNING & _70NII,TG 575 DORSET STREET SOUTH BURLINGTON, VERMONT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- 03 - C O Application for Permanent Sign Permit 1) OWNER OF YCOD (Name as shoW,�i on deed, m fling address, phone and fax #) 2) APPLICANT (Name, mailing addres , phone and fax #) ' O I.J,iI, VT- o 3 3) SIGN LOCATION (inclp a business name, address, & phone ft CT s p 30(pU Ldd U 5 A1 7- ' 0.3 o.2) 86S-az)v 4) TAX PARCEL ID # (can be obtained at Assessor's Office)_ 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 6) DATE OF ERECTION 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREE-STANDING SIGN 1. ,�,/x Q / J' 1/ SIZE. in sq. ft.)- 2. 0"VERAICL IGHT SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: NO It: 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 APPROVAL (if applicable): 9) Applicant Signature: Date: tO) Signature of Land/Building Own Date: I0'i 103 aoww�mwwsoacemoe®®e®o�ac®o®ore®®m®oo®t�ao��naacaeo®wo���c�Q€,�,v�awao®a®cacnoa®®:� nr�,�o�t©.a®�veena©oataia�a�ama�®atl®mv Do not write below this line iaD89i *Je�>5�96 t)�SfS::Jci�9d�'3�3a9JWia c3 Si3QiR6G'6.3�@Fa:6Ai:a�i®i�.]�a�3�6CL�43�AE :'s4a�E9 Fee: rip ation: ` et d oe Cede Officer Sir-mature,:000, SNGG:l;ib ddtiU�va3f9SE ➢�W�Q�:t Appro�✓ed Date: �� !!,'" .'7 ram. - VAC'A . JU i_.11 Y V.A. L, -AR I S K A PATE � E J e % CJs BARBER SHOP y BAIIRER s iffop CJ's Nis l'III IAN PRIFFF!" op J"P a � NSF /� A�