HomeMy WebLinkAboutPermit Permanent Sign SN-02-05 - AVADA HEARINGFROM : City of So. 2 FAX NO. : 1 802 658 4748 Sep. 04 2001 03:51PM P1
CITY OF SOUTH BURL,L GTOIN
DEPARTMENT OF 9IAitiN1;NG & ZONTN '
575 DORSET STREET
SM-Mf RURIANGTON, VEM/lONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Numher SN- & � - d
Application for Permanent S E gn Permit-
1) OWNER OF RECORD (Natne as shown on deed. inailing address, phorie and fax #)
4�2-- se 1-F1 Le--C _
2) APPLICANT (Na,ne, mailing address, plione and fax ,:) _. VA flA I-kee'r.,O`
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL TD > (car, be obtained at Assessor's Office)
5) SIGN FRFCTOR (Name, ,nailing address, phone and fa+c n)
6) DATE OF ERECTIONT,
7) SIGN DATA A
WALL SIGNS (list size in sq. ft., illumination, R type
such as panel or cutout letter)
-&STANDING SIGN
I
z_...._
OVERALL HEIGHT:
_
SIGNABLE WALL AREA (in sq. tt.): �-�
i
TYPE O IL I.,U(v1TP , , 1'sON:
NVIh: A scaled rendering or each proposed sign must be subanitea illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable): _
9) Applicant Signatur __� Dale:yl
10) Signature of Land/Building Owner: _ _ _ Date:
•Oc000o00oNiY0ea0wooa000Ym000oY00o00V0000000mY00604000m0006YY1000C0UaOOU00G10o0000'�t•So7G^ceo9eo0eooeie
Do not write below tFis tine
00000000000o0000i00v9*90 0 00000*00
0
VOtlYi0SOY0o600Y�YiOt00YYY d V 00 '"040 9ViwQa�O^GSa COGO�iG�i0G40
Fcc: icutizzn: jec teCl 17�.roved
Code Officer Signature: _ _ Date:
5,<� C-
.kTrACA
Mike Bartolucci
29" x 62" 2-sided panel' shown to scale on existing
sign panel. Reccomend laminated plywood