HomeMy WebLinkAboutPermit Permanent Sign SN-03-28 - COCONUTSCITY OF SOUTH 1BURLINGTO
DEPARTMENT OF PLANNING 1a0z; ZO)1TDTG
575 DORSET STREET
SOL7H BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN--6"2-
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 (1\(ame, mailing address, phone and fax #} Tw•h See-�. S� v�.S
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3) SIGN LOCATION (include business name, address, &hone *):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) STGN ERECTOR (Name, mailing address; phone and fax it): CS � �► � s �� ..,�'
6) DATE OF ERECTION.
7) STGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
I OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLU-NI NATION:
MOTE: 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) Applicant Signature:
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0) Signature of Land/Building Owner:
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Code Officer Signature: 9' .
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Date:
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This drawing contains orlginal design elements created by Twin Stale Signs and is sukier.i Is all copyright laws. This drawing is the property of
Twin Stale Signs and Is Intended ter your review and approval purposes only. It Is not to be reproduced, copled or exhibited In any fashion or
shown 10 anyone outside your organization without the expressed written consent of Twin State Signs. In the event that exhibition occurs without consent,
Twin Slate Signs expects to be reimbursed $511 In compensation for time and labor enlalled In creating these plans. Copyright •
PROOF READING
ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED AND READY FOR PRODUCTION.
ONCE THIS FORM IS RETURNED TO US SIGNED, WE ARE RELIEVED OF ALL RESPONSIBILITY FOR ANY ERRORS THAT MAY BE
DISCOVERQAT ANY TIME IN THE FUTURE.
Accoptan.. i Conditions -----__-.-- _- ,- ---___--- _ _ IL�Ie _ -- -- .-------
SpecificalioitS
DaIe
Client
Mile Name
Design by
Twin Stag
Signs
14 Gauthier Drive
F.scex .10., VI' 05452
802- -8949
907-87h 1121111 I aX