HomeMy WebLinkAboutPermit Permanent Sign SN-02-06 - DAILY NEWS CAFEl) C
CITY Or SOUTH BURLING O
DE]PAift'I•MEN'i OF PL A1N'NING & ZONQgG
575 DORSET STREET
SOUTH BLRLINGTON, VE&VIONT 05403
(802) 846-4106
FAX (802) 846.4101
Permit Nurnber SN_L2- �P
.Application for Permanent Sign Pennit
OF RE '�ORD (Name as sh9wn on deed, mailing address, phone and fax 4)
=arr,ol1,9 h?r� y� �i1�1'��s, vie (/,"4�
2) APPLXCANI"
address, phone and fax
3) SIGN LOPATION (include business name, address, & phone
4) TAX PARCEL ID # (cart be obtained at Assessor's Office)__.
k��r
S SIGN ERECTOR (Name, maili)ig address, phone and fax #
/7 A .4i —2._ a /?V- ", tx..._/,1, e_e �%• _ . /
b) DATE OF ERECTION
7 SIGN DATA
WALL SIGNS Gist size in sq. ft., illumination, & type FREE-STAs`�iDING SIGN
such as pane or cut-out
1. SIZE (in sq.f_"o" J( /I � 0/ —
z.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.). TYPE OF ILLUMINATION:
zV7 _ '1
NOTE: A sealed rendering of each proposed sign must be submitted iiiustratin8 the color of the sign
noting the dimensions of each sign.
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8) DATE OF DESIGN REVIEW P -4VAL (ifapp 'cable): _
9) Applicant Signature: Date:� �✓
Date.
X 10) Signature of Land/Building Owner: i �� ST.�«� Assoc
•N!••••N•N0"0 ..N••••••N•••NN•OM•N•• • • i• /
Do pot write below this line
w 'Approved
Fee; plication: Rejected
Code officer Signature:
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i
/' l / Vogt (//�/ � l ` "' - ! lG" G �/ � (
Wayne and Ruby Gibson, 29 Myers Court, South Burlington, VT 05403
802-864-4791 FAX 802-658-6357 rwgibson@adelphia-net