HomeMy WebLinkAboutPermit Permanent Sign SN-02-36 - HUNTINGTON CHOPPERSCITY OF SOUTH BU LINGTON
DEPARTMENT OF PLA VNI NG & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERNIONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #)_d ,t71 -1 o
(2 k / Y G lhy,, v V& 72 rr? c) ry 7T r7 S y
#Allt'riAlG Tam 140
3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): .SC-l%
6) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such sit -out letter
1.
NE�
SIZE (in sq. ft.):61 J 5q %
2•
OVERALL HEIGHT:
SIGNAELE WALL AREA (in sq. ft.):
TYPE OF ILLUNMATION:
1�90
Nu the 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):
9) Applicant Signature:—� Date: : 4'-41! Z
10) Signature of Land/Building Owner:
'y Date: S -0 _R
eeoeooaooeoeeooeooee000aeeooeooeaoeooeaeooa0000000eeooeosneeooeooee000eoeo ee00000eooeoeeessoeeeeoeeoe
Do not write below this line
•..o••oote0000aeeoeeeoeeeeeeeeoeeeee A oieApplication: +oe❑oRejected •eenoeoeeoeoo er Sproved ooseo...
Code Officer Signature: Date: P-4ca,
rj
pp Q
/1/0,/ -om/ 4 /v li H