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HomeMy WebLinkAboutPermit Permanent Sign SN-03-12 - HO-HUM MOTELPermit 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 Jh I I k n ,An An\r\_LOV\ , (A 7 i ( «-Arm 2) APPLICANT (Name, mailing address, phone and fax 9) 3) SIGN LOCATION (include business name, address, & phone): 4) TAX PARCEL ID r (can be obtained at Assessor's Office) 7) DATE OF ERECTION 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, a type I FREE-STANDING SIGN such as panel or cut-out letter) 1. I SIZE (in sq. ft.): ;4 p sj' OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: F-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. 9) DATE OF DESIGN RE W APPROVAL (if applicable): t 10) Applicant Signature: Date: 3 S V3 11) Signature ofLandBuilding Own �.�— Date: S �3 C1989c�®�:�®AAU'�O©®9®®9®�C900ad�A400060®9®aaoAo0ad®®oHo9©9oe9®®o®®ao®®9oQ Do not write be?ow this line �so�uav�aoca®e/u/aea®ue®®�a��e®da©�®w®aeaa9�a®d©®��aooe®ate®osyo�o�o® aaayce®oc�®®�cs /0lication: Reje' d Approved Code Officer Signalu7e,: � s�G% -`^ ( Date: Specifi, ons SIZE: 48" x 112" with a 15" step up (63" at highest point) 24" Ho -hum 4" reader board copy Date - -03 The design above, file name -hohummarch5 ` ----------------------------------------------------------------- TWIN STATE is subject to the following conditions. Please read the conditions carefully and in their entirety. _I This drawing contains original design elements created by Twin State Signs and is subject to all copyright laws. This drawing is the property of SIGNS Twin State Signs and is intended for your review and approval purposes only. It is not to be reproduced, copiai 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, 4;`, -- - Twin State Signs expects to be reimbursed $500 in compensation for time and labor entailed in creating these plans. Copyright , 2ool 14 Gauthier Drive PROOF READING Essex Ju�n/ction, �'T 05452 ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED AND READY iA 802-8 / 2-8949 FOR PRODUCTION. ONCE THIS FORM IS RETURNED TO US SIGNED, WE ARE RELIEVED OF ALL RESPONSIBILITY FOR ANY fax 802-878-0200 ERRORS THAT MAY BE DISCOVERED AT ANY TIME IN THE FUTURE. e-mail twinsign@together.net Acceptance of Conditions----------------------------------------------------------------- Dale ---------------------