HomeMy WebLinkAboutPermit Permanent Sign SN-02-11 - ACM REALTYCITY OF SOUTH BURLINGTON
DEPARTMENT OF FIANNING & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN_ 0'),
Application for Permanent Sign Permit
RECOrZD (Nar* as s-how,-no deed, mailing address, phone and fax
x
V, - & 5 -7 - �XlXg ,
2) APPLICANT (Name, mailing address,
and fax #)
3 ,�SIGN WLTIQX incl# business na ydre yhone
00!1 Wj
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) Sj9N EIZp ECTOR (Name, mailing address, ph �dd fup
6) DATE OF ERECTION -7-6.0
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
Z/� I
1.
/SIZE (in sq.
X �/
t /" =
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TVE OF ILL
NOTE: A scaled rendenng of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEVV4PPRO (i licabte):
9) Applicant Signature: Date:
10) Signature of Land/BuildingOwner: N, ate:
Fee:
Code Officer Signature:
Do not rite below this line
on: 0 RcJected
,e17
as
Date:
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