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HomeMy WebLinkAboutPermit Permanent Sign SN-03-38 - IDXjCDET-'A ,.TD [EI`TT OF F'1-,A-PTN?L iG &-: �T^T71`T-, 575 DOi?SET STREET SOUTIH BURLLNGTO11T, VEF,P U-7 05403 (802) 346-4106 FA:[ (802) 846-4101 Pen, ;it Number SN-6 -1� - 3 8— Application :for Permanent Sign Perini OF RECORD (NamXoe s h0Vvn on deed, mailing address, phone and. fax #) ►rP �qo LpK 2) APPUCANI' (TTame, mailing address, phone and fax #) 3) SIG�1 LOCATION (include business name, address, & phone 4) TAX PARCEL ID # (can be obtained at Assessor's Office)" 5) SIGN ERECTOR (1*1ame, mailing address, phone and. fax #): 6) BATE OF ERECTION S(fP;� 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREE-STAI�TDING SIGN I. /NNPc It-u4M1 ,),#vv r r- aTk S SIZE (in sq. ft.): 2. OVERALL EEIGHT: SIGNAELE WALL AREA. (in sq. ft.): /Uv c.NWc,* /d NE- qy� 01y dg TYPE OF ILLUNHNATION: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. S) DATE OF DESIGN REVIEW APPROVAL (if applicable): 9) Anulicant Signature: I�v�Date: 7"".2y a 3 10) Signarare of Land/Building Owner: T0K Z9 key=- Date: ;If-O 3 uea©�*gaooaamoao®uoaao9®noa000®o©eoo©ace®wa®®wflooc�a0000®®ciao oaora©oaoo©oa��asao©000as®a�oc�000wr�©eaa®©9©©eWa© Do not write below this tine 9aesaaaa»ea�Kaoeaj.��soaoeoaaaaaaasaaaa a acraeeoeeaaoeaaoaaeaasaaeeeaeeo®anaeeoeaaaaaae waaeoamoaeaosAoaea Fee: _ pp"cation: ❑ jected � Approved Code Officer Signature: � �-^ Date: 7 EI-ECTA/4 rg.A(.OF W*q .:5r ei-EVII E106r' 5CAA4: -1 --4-&T-Mg S 8*,.DF-aoo FAAR14475-0-FROM -ant x .,- Ex A.-V -e,4 e--Ae 5 A a 6? f."I X-. F-,P. 4- rz- X 4 Al 4.44-ACS-7, �.4,0.r Arvo 4077r-g -atge wr I I A F. d? v / tz 6,0. 1- s!,X 4,v W,+/-4- VV17-# Ae.o I Cb co JIt kin It ti This It or. original UMOW§hdd dti*lfto efox4d by Mons O'Llfe, Inc. It Is submitted for your personal use In connection with the project being planned for you by Signs O'Life, Inc. It 173 PURCHASE STREET Is not to be shown to anyone outside your organization, nor BOSTON, MASSACHUSET-rS 02110 Is it to boa Used, reproduced, copied, or exhibited in any fashion. 6,17482-1147S FAX 617-"2-1490 1 -0 x APPROVED APPFIOWD EXCEPT AS HOWD 7-,4 IA-, /Z Z) FKSUBMIT L/ 7- APPROVED EXCEPT AS NOTED DISAPPROVED RESUBMISSION NOT REQUIRED RFSU9W