HomeMy WebLinkAboutPermit Permanent Sign SN-02-19 - STITCH BY STITCH ALTER.CITY OF SOUTH BU RLINGTON
DEtPARTIVIIENT OF PLAI";, N <NG & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- 0 9 -
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Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed mailing address _phone.and fax #
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2) APPLICANT (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone It): lr _ 7
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address. phone and fax #):
6) DATE OF ERECTION\Pk 1
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SaGNAELE 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 sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Signature: Dcn,, e- ; �, _ Date: �A -a
'2L 10) Signature of Land/Building Owner:— Date:
Fee:
Code Officer Signature:
Do not write below this line
❑ Rejected VApproved
Date: /
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