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Permit Permanent Sign SN-02-26 - ALEX'S RESTAURANT
_!;HLE PPLPEFTIE_ PHCHE HCJ. G-t,,` J;_!r-. �_r, .`Ca=��' i=rl:��'F11 P CITY OF SOU1717H L�TJTRLINGTON DEPAWTi 4-Rr' QV n.ALl'`_lNQ4G & 40NJ4NG 675 DORSF'T ETC FE SOL" M 1;URL;NC1'0N, VER&ti101N'r 05, C3 (802) 846.4106 FAX (802) j3 —4101 Perm{t Numbtr SN. `. � Application for Pemianczit Sign Permit 1) OWN OF CORD (Naxn a- Zllon on deed, mailing address, phone and tax nj NT (Nam, mVljng ad4ress, phonc r.nd fax #) 3) STGN LOCATION cl udq busiz>.ess address AuAe qwa�'s q-td.l M __,f 4) TAX PARCEL £D 0 (m be obtainad at Assessor's 0Mcc) _ , ff (Nsrnc jl nr ad+drsss, phcme and fa-ti #); 7) SIGN DATA ` WALL SIGNS (4u aim in sq: ft, La maLnaflon, & t+pe SIONA13LE WALL AREA (in sq. ft. ). --- -- NCTH; A salad rmy;rring or aach prupc�sw alp jta hC noting tho cfiM*E Wm ofwh elfin, TAIZING SIZE (in Pq. ft.); II.iJ1�iAT1 � ,.1 l 1trF YZdng +,ha gmlor of tho sign arw 8) DATE OF DESIGN REVIEW PR V i. Xble_-y 9) Applic*nt Signatw _ Date: .Z__ 10) Siguat= of Laadlhilding Owncr: C Do not write Dtle.r tlh6 sins •MM�MMHI��N�1 \H\RN\14\ ----- N itN�F�#p7MM7fgi�1\i Fcc A atim, it j4 -zed pproved Cade OfTicer ,"signature TOTPL P . 0 CITY OF SOUTH BURLENIGTON DEPART' WENT1 0 F PLAPTI P-TG Sz ZONDTG 575 DORSET STREET SOUTH BURLINGTON, VERMOi-TT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- Application for Pennanent Sign Permit 1) OWNER. OF RECORD (Nam as shown on deed, mailing address, phone and fax #) 2) IC _ NT {Nan , mMifigdTess, phone and fax #) �l �a ✓� c� 3) SIGN LOCATION includg businessM address, & pluqe #): 4) TAX PARCEL ID # (can be obtained at Assessor's Office) r K �o —0163 —C 5) SIGN ERECTOR (Name mailing address, phone and fax #): 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.): 2. OVERALL HEIGHT:, SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILL IT ATKW g tc 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 PRE V.L (if ap livable): 9) Applicant Signature:�11 )ate: 10) Signature of Land/Building Owner: Date: _ aau®owe®©ar�a�eaed:�®�aao®�n�sw®we©w�aoow®®s��©o��owmwo®r�mooc�oa;�r��3o®®®eocnes©cao®oeoaa©uoa®onc�o�awewo®©tea aeo®ara®®ace Do not write below this line �aaea���aa.,��.2�aa9waea��Pawaaw��nanaa�w�afl�,v��i�saa€�gaaraamaawwaem�a�aaaaaaawaaa�$���+a���s®�waaaasoc�eKwagrwa�ae, Fee: Application: Rejected ❑ approved C:lde Officer Signature,: a e: ) ( 3(, W�acif'. Pcw�s� I�,a` /j6