HomeMy WebLinkAboutPermit Permanent Sign SN-03-54 - TOUCHSTONE HEALINGPermit Number SN- e : -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name a shown on deed, mailing address, phone and ax #)
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2) APPLICANT (Name, mailing add ss, phone and fax #) D I'G d
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3) SIGN LOCATION (include business name, address, & phone ft
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERE,CTQR (Nan)Le,. mailing address, phone and fax #):
7) DATE OF ERECTION
91 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq. ft.):
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2. fOVERALL
HEIGHT:/ Z /
SIGNABLE WALLA (in sq. It.):
TYPE OF ILLUMINATION:
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4170 L-
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NOTE: A scaled rendering bf each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN RE W APPROVAL (if applicable):
10) Applicant Signature:
10
11) Signature of Land/Bu' ng Owner:
Do not write below this line
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Fee: A tion: Rejected prove
/4
Code Officer Signature: Date: d /
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Design Signs, Inc.
644 Blair Park Road
P.O. Box 1048
Williston, VT 05495
West wall; two 4' x 4' interior -illuminated signs with wood frames and acrylic faces.
P90 PAOal( 110 U1946 60XC*
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Design Signs, Inc.
644 Blair Park Road
P.O. Box 1048
Williston, VT 05495