HomeMy WebLinkAboutPermit Permanent Sign SN-03-36 - INTERSTATE CLEANINGPermit Number SN- ( -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and ax #)
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3) SIGN LOCATION (include business name, address, & phone #): IN CJ,AnL
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailin address, phone and fax #):
7) DATE OF ERECTION / d�
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
uZ S"4j P,14 1'
1
SIZE (in sq, ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF E LUMINAT ON:.
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�� `/ _r �- `?4tj/) 01Nher
- - • - -W�� �. ..g — Yl uYuacu s1L1,11 iuusL ou suommea illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW PROVAL applicable):
10) Applicant Signature: Date: ! V�
11) Signature ofLand/Building Owne t Date:
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Do not write below this line
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Fee: A ication: ❑ Rejected Ig Approved
Code Officer Signature: —v \ Date: ��
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Maintenance Cleaning Corp.
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