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HomeMy WebLinkAboutPermit Permanent Sign SN-03-45 - WHITE ORCHID WELLNESSIJE �ti L�TvI E I`T ' C)F FLAP1 1 DNG v 575 DORSET STREET 50T -11-1 BU L.,I_NGTON, VE,RM01",1T 05403 (802) 846-4106 N A7 (W-19) RLtA-A1 (', Permit Number SN-�- r Application for Permanent Sign Permit 1) OWNER OF P r.CORD (`Naive` :as shown on deed, mailing address, phone and fax 91) C 11 01 �u rl��.�5 T�^-� 1 LOCH rT• 1 Pay 'u C" P �:� 2) APPLICANT (Name, mailing address, phone and fax #) R e x U.: h; +e-- ci►'1 - y�3 - �335� 3) SIGN LOCATION (include business name, address, & phone #): WH" T a G2CH3D WELLa.,£SS Ce,-tER- 3,56R- CJ 11Sto.� �. So. R,3N:,J-j 4) TAX PARCEL 11D # (can be obtained at Assessor's Office) /8/6 - 0306 Z - L 5) SIGN ERECTOR (i'Iamre, rnailiiig address, phone and fax #): 0c);NI;_�L - LeSS(-e 6) DATE OF ER.ECTIO-M WALL SIGNS (list size in sq. ft., illumination, & type FREE-STAIITDiNG SIGN such as panel or cut-out letter) C. k ; , ,o I. SIZE (in sq. fit.: lz vo 2. OVERALL I- G : SIGNABLE WALL AREA (in sq. fit.): � TYPE OF !,LUMNATION: f NOTE: 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) Anplicaiat yianature: Date: 7� 10) Signature of Land/Euilding OINner 2/2 � � Date:oao�aor�ooe®000�.undo©o�moso®oe0000q®aaa®oa�ooamc not write below 'this line Fee: `2 plica ion: e d Approved Code Officer SiGiiature: Date: c� 5 -61;'�clL 5gcKErkY-Wb Fl�w�t Dcs:y r� 604-k E, CAC3 1 ' z 3 ©2 P,FL r PO2Tq,,jA rr CYV 263-G2 _sly L/ x c(( ourz of o rcapniwl Am- 5pm M 0N, - iAM- l-Z P( SRC -- �A b T rC d R cN— fi�e`k t,v Fu. n► ESS Ce^rT F 2 1 nnro� V• tT LL �- 11-t Lop PhoN F Nal) (,U HTtF tErrs�S r FtoV"�N1 _ Ll P`�