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Permit Permanent Sign SN-03-10 - SHELL STATION
Permit Number SN-01 - 0 City of South Burlington'. Vemont Application for Permanent Sim Pemit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax F) 2) APPLICAv,T (Name, mailing address, phone and fax 3) SIGN LOCATION (include business name, address, &phone rr p 4) TAX, X, PARCEL ID (can be obtained at Assessor's Ornce) 5) SIGN ERECTOR (Name, mailing address, phone and fax 4): kA D�- - �.Sri- 05 7) DATE OF ERECTIONS 8) SIGN DATA C V . 1 (list size in so. ft., illumination 3 tvpe FREE-STA-NODTIG SIGN l such as panel or cut-out letter) Ak'J.,.,�,..,,,� SIZE (in sq. fr.): 2. �, ���� �,,; rj� i OVERALL HEIGHT: I S 1 SIGI�iABLE WALL AREA (in sq. ft.): TYPE OF ILLU MNATION: 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 R 101 Applicant Signature: 11) Signature ofLand/Building OV.`.L (if applicable): e 0091*000000It 009Q 0000000000O090400440000Z40mde 0 0S©000*0*a 001900000eca Do not write below this 1hie mdc'-3t➢0�n�OcD®AOAH9®t➢dAQ1tlJ9t80 DoldOH®ea90Otl A999®00®�900a A9d0A0A0afgJ99®�a4.g09®9almAOO Fee: 7 Rejected LiAp�proved iCode Officer Signature:/jication: Date: �v ro —Shell c cm C-4:z- 5 \,�\b --A-- 4' MODIFIt1'3 SYSTEM ALL NEW 7 �q X IZ. 737 - SHELBURNE RD. SO. BURLINGTON, VT � ` S�� CO c �