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HomeMy WebLinkAboutPermit Permanent Sign SN-03-19 - GREAT NORTHERNCITY OF SOUTH BURILIN G TON DEPART TMENT OF PI AN1' UIG & �0N1PTO 575 DORSET STREET SOUTH BURLINGTON, VERMONT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- 0 3 - / Application for Permanent Sig Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) C�,(-�C'��' -�.� n _ _ • �� /�� Ste.\bw.,�. � S if 2) APPLICANT (Name, mailing address, phone and fax #) —i _ , ,n 'S h .- -� 8- 4 ,-t y 8 7 3) SIGN LOCATION (include business name, address, &phone #): � �,r ,� S In., l bs�o ,. \ ► (� Sal - Iy y — 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, prone and fax #): �-� GG l- a 6) DATE OF ERECTION 5/a0 1 03 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 31 1. SIZE (in sq, ft.): 3a sy P�_ 2. OVERALL HEIGHT: I S "- SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLIJ14IINATIO1\T: 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 4;11 9) Annlicant Signature: /�-- 10) Signature of Land/Building wwaw�®awwo®wwmoewww®w®®wwaw.....a©wwe. ies®aa�s®asww®o®�aag=� Fee: S Code Officer Signature: APPROVAL (if applicable): Date: C/ act Date: I a �- IDo nodwrite below this line ►n: ❑ Rejected 3 Approved .�� —_ Date: 7 / Great Northern —Stereo — Anti,­,e,i ,_en: S 3 a s `- Gr cat Nor the n Ste eo UNICEL ,tut riz dAgent Great Steveo UNICqL Authorized Agent 48" x 96" sign great: 9.75" lower panel: 12" x 96" Great orthern _ SteVeo— �utUNICEL Great Northerr U CEL Authorized Agent The design above, file name greatnorthster4-4-03 `r ------------------------------------------------------------------ is subject to the following conditions. Please read the conditions carefully and in their entirety. This drawing contains original design elements created by Twin State Signs and is subject to all copyright laws. This drawing is the property of Twin State Signs and is intended for your review and approval purposes only. It is not to be reproduced, copied or exhibited in any fashion or shown to anyone outside your organization without the expressed written consent of Twin State Signs, In the event that exhibition occurs without consent, Twin State Signs expects to be reimbursed $500 in compensation for time and labor entailed 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 ERROPS THAT MAY BE DISCOVERED AT ANY TIME IN THE FUTURE. Accept, —of Conditions-------------------------------------------------------------- — Date --------------------- I t Northern Stereo tL+tborrzcd ;1 gent TWIN STATE SIGNS 14 Gauthier Drive Essex Junction, VT 05452 802-872-8949 fax 802-878-0200 e-mail twinsign@together.net