HomeMy WebLinkAboutPermit Permanent Sign SN-02-27 - LEWIS MOTORSCITY OF SOUTH BU INGTON
IDEPA]EBT11IMNT OF IPLAi'\TNITO d& ZONING
575 DORSET STREET
SOUTH BU LINGTON, VERN1O1 dT 05403
(802) 546-4106
FAX (802) 546-4101 /
Permit Number SN- -9 U� -
Application for Permanent Sign Permit
1) OWNER OF RECORD (Hanle as shown on deed, trailing address, phone and fax #)
2) APPLICANT
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #}:
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6) DATE OF ERECTION 61.._ % 3 - oL
7) SIGN DATA -,-/ -� it'd
WALL SIGNS (fist size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA tin sq. ft.):
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TYPE OF ILLUMINATION:
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 REVIEW
9) Applicant Si
Bate:
10) Signature of Land/Building Owner: Date:
Igo not write below this line
Fee: _=
Code Officer Signature:
C
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Authorized Dealer for:
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A:20021 lewism.scv 2 ds banners 4' x 8'
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