HomeMy WebLinkAboutPermit Permanent Sign SN-03-33 - CELLULAR ONE1 _l OWNER
CITY OF SOUTH BURLINGTON
DEPARTMENT OF PLANNING & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- �s E
Application for Permanent Sign Permit
RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) e /l a !� -2_, l L{ %%l e -e
IMrXA C, ()nA/ Wi C_ /r7i 1 .n 1 2?,4,4 Yf,_� C _/_
�VU0 - 660-z2S_4.
3) SIGN LOCATIO (include busmes name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
6) DATE OF ERECTION I I d
7) SIGN DATA {n
WALL SIGNS (list size in sq. ft., illumination, & type FREE -STAND tNG SIGN NO
such as panel or cut-out letter
1. p_p SIZE (in sq. ft.): C
2• OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: 1
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 RE PROVAL (if applicable): v
9) Applicant Signature: Bate: �� Q3
&dz",10) Signature ofLand/Building Owner: � Date: � G
Fee:
Code Officer Signature:
Do not write below this line
lea
VApprooved
Date: (/ /C