HomeMy WebLinkAboutPermit Permanent Sign SN-02-04 - MARINE COLLECTIONCITY OF SOUTHBURLINGTON
DEYART MFJgT OF PLM�IN.dNG & ZONING
576 DORSET STREET
SGUTH BURLI?`vGTON, VERMONT 05400
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-
application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on
2) APPLICANT (Name, mailing address, phone and fax
and
3) SIGN LOCAT::�hx (include business name, address, Iphone #): �7
6 11-e e-ju; ` , 3b /-7 (1), It,
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4) TAX PARCEL ID # (can be obtained of Assessor's Office) / 5 /O -- 0 3 0 ( 77
5) SIGN ERECTOR (Ivrame, mailing address, phone and fax #): GrrQ v _S9 r-N
6) DATE OF ERECTION_ A S A I �
7) SIGN DATA
WALL SIGNS disc sire in sq. ft., illumination, & rype
FREE-S'TANb NG S-f6JN
such as mel cx cut-out Bette —
� -,--
1
SIZE (lit SQ. ft.):
2
OVERALL HEIGHT: v
f SIGNABLE WALL AREA (in sq. ft.):
--W------
TYPE OF ILUMNATION:---{--
NOTE: A seated 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 AFPRO (if applicable):
i
9) Applicant Signature: _ _ Date: Ir�
10) Signature of Land/Building Owner: _�- -_-._ e: -1,4210-1�21
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Do not write Wow this line
Fee: _ ,�` p ication. ejected
Code Officer Signature:
Date: 11);16
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184 NORTH STREET, BURUNGTON, VERMONT 05401
TEL (8O2) 86'?_., <'_ , x (901 862-7411
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