HomeMy WebLinkAboutPermit Permanent Sign SN-02-12 - AUTOHAUSK
CITY OF SOUTH BURLINGTON
DEPARTMENT OF PILAF NIT40 & ZONIIN G
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Penn it Number SN- 0Z - ` z
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) _
2) APPLICANT (Name, mailing address, phone and fax #)
3) SIGN LOCj`AiON�include busines� name, address, & phone #): 1e
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) ��
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
SIZE (in sq. ft.):
2.
OVERALL HEIGHT: A— U
SIGNWALL AREA (in sq. ft.):
TYPE OF ILL ATIO :
_ABLE
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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: �/�.%.��� Date:
10) Signature of Land/Building Owner: Date:
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Do not write below this lime
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Fee: /. p anon: ❑ P�ejected Approved
Code Officer Signature: J� Date:�3/
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