HomeMy WebLinkAboutPermit Permanent Sign SN-02-28 - EJP PIPELINECITY OF SOUTH BU LINGTON
DEPARTMENT OF PLAN114E4G & ZONING
s 6
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106 u. i
FAX (802) 846-4101
Permit Number SN-D
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Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailin address, phone and fax #)
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2) APPLICANT (Name; mailing address, phone and fax
yt.,✓ #)
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3) SIGN LOCATION (include business name, address, &
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) mop — p%Z3� — C
5) SIGN ERE'CTpR (Name, mailing address, phone and fax o) an-7Z-- 4�' 2157
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6) DATE OF ERECTION
7) SIGN 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.): '
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2.
OVERALL HEIGHT: �S /
SIGNAELE WAIL AREA (in sq. ft.):
TYPE OF I LUMMATION:
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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 RE
9) Applicant Signature:
10) Signature of Land/Building Owner:
VAL (,if applicable):
Do not write below this line
Date:
Date: D Z�
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Cede Officer Signature: �` Date: ��
' Pipeline Specialists
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Everett J. Prescott, Inc.
WATER • SEWER
DRAIN GAS
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Pipeline Specialists
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Eve it J. Prescott, Inc.
WAT R SEWER
DRA N GAS
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Specific ions
SIZE:
60" X 84"
SIGN ON
24" X 120"
CLADDING
PIPELINE: 4.5"
EJP: 22"
EVERETT: 3"
WATER: 6"
PHONE: 2.5"
Date
6-19-02
The design above, file name -EJP2
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is subject to the following conditions. Please read the conditions carefully and in their entirety. TWIN STATE
This drawing contains original design elements created by Twin State Signs and is subject to all copyright laws. This drawing is the property of 0;7�I�,�T�
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 1�shown to anyone outside your organization without the expressed written consent of Twin State Signs. In the event that exhibition occurs without consent,`► 14 Gauthier Drive
Twin State Signs expects to be reimbursed S500 in compensation for time and labor entailed in creating these plans. Copyright Zoo:
PROOF READING Essex Junction, VT 05452
ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED AND READY /�'1 802-8 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.
Acceptance of Conditions ________
--------- Date e—mail twinsign@together.net
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Existing pavement to
be removed, topsoil,
seed and mulch.
CHAP -SW,
THY TRAIV
Dr. INV top 00 I-ebor
Ele Y. 304. 51
Aj-rp or
concrete septic tank.— .... .. .
(Raise tank 12- ............
Provide new 4" PVC .. ....... . ...
.......... ....
sdr 35 service 'into
Exis ting Office
(1, 646 s. f) 1 Newl 6',, 1 e bfs
New 4" PVC 0
SDR 35 s=118-1ft.
P-4
A
P-3
lew distribution box \C. 0. %........
. . ...... W171
...... .....
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Oak 25' LA
New bikers
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17Woccte, coordindte with VGS.'
New signs,
-stop" on dl` DO
NOT ENT-i-A-Y'
Pa_rkway
Remove exIsting
se�otic SX&M.
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569:52'33"W
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The City of South Burlington