HomeMy WebLinkAboutPermit Permanent Sign SN-03-57 - COUNTRY FARE REST.DEPARTME11T nE PLANNIN0 & .70N1110
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(302) 346-4106
FAX (802) 346-4101
Permit Number SN-�-
Application for Permanent Sigh Permit
3) SIGN L CATION (include busines ame, addr, & phone #): laid
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SI TN R CTOR (Name, mailia g add ess, phone and fax
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6) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.): /
2.
OVERALL HEI
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF L ATI
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NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color 6f the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if a icable):
9) Applicant Signatur . l lZ�� Date: l O
10) Signature ofLandBuildina O,VTIer: 74
nor wrere ovow in►s nne
Fee:
Code Officer Signature:
D�Ak
BREAKF4ST LUNCH WEEKEND BRUNCH
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V/es�' Face o� �v�i�n� Luc t„J RT 7
110 S,4�
10(b AOc.4
4 `- 1-cm