HomeMy WebLinkAboutPermit Permanent Sign SN-02-08 - VERMONT LIQUOR OUTLETITOF SOUTHI1G
DEPART1\14ENT OF PIANNPiG & ZONENTG
575 DORSET STREET
SOUTH EUR1,1NGTON, VERMONT 05403
(802) 846-4106
FA--X (802) 846-4101
Permit Number SN- 4 ) - 0 V
Application for Permanent Sign Permit
1) OWINR OF RECORD (Name as shoo- on deyd, inaili o a ss, phone and fax #)
2) APPLICANT (Name: mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1 ,�q,r✓ 00 � 7Y. C-.
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
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b) DATE OF ERECTION 12,6,1 0 Z
7) SIGN DATA i I D 6 vin .gin i_. f . (4z 7o r c, i ) -� i r .i-
MALL SIGNS (list size in sq. ft., illumination, type
FREE-STANDING SIGN
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such as panel or cut-out letter)
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1.
SIZE (in sq. ft.): ,
2.
OVERALL HEIGHT: 1
SIGN LE WL AREA (in sq. ft.):
TYPE OF ELLtTMINATION:
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 REV ROOT ( if applicable):
9) Applicant Signature: Date: '' . y Y
10) Signature of Land,Building Owner: ['A-t/ &eval,!,
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.Fee:
Do not write below this line
iect ed Approved
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Cede Officer Signature:
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