HomeMy WebLinkAboutPermit Permanent Sign SN-03-31 - CELLULAR ONE1)
CITY OF SOUTH BURLIN GTOIN
DEPARTMENT OF PLAI'- NING & ZONING
575 DOR.SSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- O� - 31
Application for Permanent Sign Permit
OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing
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phone and fax #) el 11
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3} SIGN LOCATION (include busines name, address, &phone #): _
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #);
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b) DATE OF ERECTION I b
7) SIGN DATA I Q�
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter) e 5
1. SIZE (in sq. ft.):
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2. — OVERALL HEIGHT: --) j rr
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: !
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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 REVIE PROVAL (if applicable): _
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10) Signature of LancVBuilding Owner:-�; Date:
Do, not write below iiyis line
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Fee: li tion: R ected C Approved
Code Offic;,r Signature:
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