HomeMy WebLinkAboutPermit Permanent Sign SN-02-51 - 25 GREEN MOUNTAIN DRIVEPermit Number SN-
City of South Burlington, Vermont
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 #)�, A,*% F a _r ada-.F
3) SIGN LOCATION (include business name, address, & phone #): 9',,,vvX,4_jet 7ro
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q) TAX PARCEL ID # (can be obtained at Assessor's Office) o i Z-0 ZS. C
5) SIGN ERECTOR (Name, mailing address, phone and fax #): Jr`,w a S..rw, eF V'r
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7) DATE OF ERECTION 6&,"xreQ_j re- — %J-J ACAa •.+�
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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NON,
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if a plicable):
10) Applicant Signature: ggv��Date:
11) Signature of Land/Building Owner:Date: 47 PZ- i .. / 0 L
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Do not write below this line
Fee: A lication: Rejected Lpproved
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Code Officer Signature: � Date:
25 ° '
GREEN MOUNTAIN DRIVE �'
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25 Green Mountain Drive
Front/Rear of Granite Sign