HomeMy WebLinkAboutPermit Permanent Sign SN-02-50 - FITZPATRICK GARAGEDEPARTNIENT 'OF''.PLANNUiG & ZONPIG
575 DORSET STREET
SOUTH BURLINGTOI�T, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- CD Application for for Permanent Sign Permit
1) OW14 R OF RECORD (Narne as shown on deed, mailing address, phone and fax #)
IRt.✓ P-cA-b
2) APPLICANT (Name, mailing address, phone and fax #}
Z Pyl 6 �Z i C�/e .5 ��J � Ic � .1 C . 2, 2- 7 S7 -Sc �l.,ir C./--C
3) SIGN LOCATION (include business name, address, & phone #):
AV---1 C:1
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR �me, mailing address, phone and faxl 1/Cd�STt�.
b) DATE OF ERECTION /D,
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
64 7 5 w l
TYPE OF ILLUMINATION:
%✓ 0) 2c j=/2 e /Zwst 1
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): -7
l ./J
q) Applicant Signature: - Date: Z1z1
10) Signature of La uilding Owner: _ Date
•••.•®•••••.••.®.••••®••••®.•®..••..®.®®....®.• •.......... ••••®•®®...............®... ®•..••®•®
Do not write below this line
3.0.••0•0•••••....•w•o.ow...o•••.w..•....owe:so•000•000..•o..o.••••••o.•ow..•.o.•oo.o•o®ww.o.o••.
Fee: , 0 T� A plication: ❑ Rejected Approved
Code Officer Signature: Date: j