HomeMy WebLinkAboutPermit Permanent Sign SN-03-07 - OVERLOOK PAK B&BCITY OF SOUTH B UR]t_,INGTON
DEPARTMENT O1F IPLANN)1 iG & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
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Permit Number SN-�-
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
rat /A _ / Ai y
— -2
2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business name, address, & phone #): �' — z76
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): —S �
6) DATE OF ERECTION h4A —�
7) STCTN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter) —
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUNIINATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
S) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Signature: � C _ Date:
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10) Signature of LandBuilding Owner: (/l Date: 2-11(41�V3
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Do not write below this line
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Fee: (I(Lv__ ppli ation: Ci jected I pproved
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Coda Officer Signature: Date: 0
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