HomeMy WebLinkAboutPermit Permanent Sign SN-02-24 - STATE FARMPermit Number SN-_4_ --�—
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RE {Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) , v1—-�� rh
3v}3 .. N,� S�. C � G K 86 gE
3) SIGN LOCATION (include business name, address, & phone #): 5Ltx Fo„ �. S,ns;,Lvrtiv,�
r so la's
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name�t mailing address, phone and fax
30�-3 Ipit i 2J ) u `3ityll LT O L'Ju? t
7) DATE OF ERECTION ✓%�2/��
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter
1. �'nc (,�,�►,�VS l �I �, SIZE (in sq. ft.)
2.
OVERALL HEIGHT: �gL
SIGNABLE WALL AREA (in sq. ft. ): TYPE OF ILLUNIINATION:
_ .2 D z < +'_ -tea
NOTE: A scaled rendering of each proposed si must be submitted illustratincy the minr of the c;n 1
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable): S
10) Applicant Signature: JL'V�E-) ``' Date: 3 0
11) Signature ofLand/Building Owner: L — Date: o
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Do not write below this line
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Fee: Application: N Rejected Approved
Code Officer Signature: Date: _
21" channel letters
red face / red trim / white returns