HomeMy WebLinkAboutPermit Permanent Sign SN-02-54 - HUNTINGTON CHOPPERSCITY OF SOUTH BURLINGTON
DEPARTMENT OF PLANNING & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- a -—
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #) zn e,
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3) SIGN LOCATION (include business name, address, & phone #): ,(-/�S j Sim
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN EREC OR (Name, i ailing address, phone and fax #):�`' I.i' / A3'1 f
6) DATE OF ERECTION
7) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.): r
2.
OVERALL HEIGHT: a
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUNIINATION:
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 REVIEW APPROVAL (if applicable):
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9) Applicant Signature:
10) Signature of Land/Building Owner;/2�� _ Date:/p -/P2-� �v?
Do not write below this line
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Fee:S, Application: Rejected \[Approved
Code Officer Signature: Date: 10- -�
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