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Permit Permanent Sign SN-02-23 - THE SCHOOLHOUSE
575 1)0RSET ST':�.T S"--T" ;JL'RLIi�aGTOI\i, s✓ER�i1C1�1T 05403 (802) 846-4I06 FCC (802) 846-4101 Permit Number SNjT- 02- _ APPEjCation for Permanent Sign p� I) OI�rfilEl}, L)ltCORD (i'Tan�le as shown on deed, mailing address, phone and fax # C' ct n t� �--, vim. �.-. � , • � i G�4 2) AP'PLTCANT (Marne, mailing j address, phone and fa s �4 -Y3Yj 3) SICK LOCATION (include business name, address, & Phone # is S� ' #} TAa�� PARCEL ID # (can be obtained at Assessor's Office) 51) SiGNT ERECTOR (Name, mailing address, phone and fwc #}: 6) DATE OF ERECTION 5, 0 0 Lt L; C.) rj —C-: 7) STGN DATA FALL SIGNS (list size in sq.umination, 8c e such as anel or cut-out letter) -ST MG SIGN 1. OVtRALL HEI :SIG:N LE �IAI.L AREA (in sq. #}.): TY.11 PE OF ILL 0 � IIl�TATI+Dl~T: NOTE: A scaled rende.•ing of each proposed sign .must be submitted illustrating the noting the dimensions of each sigcolor of the sign and n o°) DATE OF DESICaN REVIEW APPROVA-L (if applicable): Applicant Si gnature: Date: 10) Signature of Land/Building Owner: 1 I s aoe000©aaaoa®ooaeae®aoeeeeoa®evoaaoaesesooaooa000a Date: oa000eaoaa000acaooaoe000e000eooiowaooaooeooeeaas®soaaoo '� Do not write below this line aao¢��eaa®aam�agaeaseamsa..�..._--- _ ..mra.®aaaaaiam®aaaaegm�.»reaoaa�un�aa`desv 4.ro 1�ee: Applicatiar ,,vesC�'deCtfn�:er Signature:❑Rejected _ Date: V 104