HomeMy WebLinkAboutPermit Permanent Sign SN-02-25 - DOLLAR DISCOUNTSCITY OF SOUTH BURLINGTON
DEPAR,TIt/i:EP T OF PLAIN E4G & ZONE\\TG
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-�
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, inaii ng address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)_
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F., �3 - 39 s(o
3) SIGN LOCATION (include business name, address, & phone #):
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 ; 1S
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.): ` p
FT
2.
OVERALL HEIGHT: v�--
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SIGNAB4 WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sibn and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIE PRO r,6,)z�
pplicable):
9) Applicant Signature: Date: d7
� r
10) Signature of Land/Building Owner: Date:
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Do not write below this line
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Fee: 5 r ication: ' Rej cted pproved
Cade Officer Signature:�\1 Date: 6_lL� Q
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