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HomeMy WebLinkAboutPermit Permanent Sign SN-02-34 - BERNIE'S AUTO SALESCITY OF SOUTH BURLINGTON I[DEPAEB.TM= OF PLAI`iN}fNG & ZONE TG 575 DORSET STREET SOUTH BURLINGTON, VERMO1 dT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- O 0\ - Applicati®n for Permanent Sign Permit 1) O'WTNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 99 5X"o as-s,1 i S-e'2 2) APPLICANT (Name, mailing address, phone and fax #)��iC'y/� eaa—W/ 1/sue' c�,ir f� 56 - 3) SIGN LOCATION (include business name, address, & phone #):Afer� � /es`O tiy,4,An A( S'a . ,AW 117 07 dy;L P 4) TAX PARCEL ID # (can be obtained at Assessor's Office) l ,9/e-0/j,S 7 - C, 5) STGN ERECTOR (Name, mailing address, phone and fax #): /U%l�/� t/,o aiC�ris.vr9l Slow,•} U 6) DATE OF ERECTION e&yg `/, 7) STGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter FREE-STAIIIDING SIGN 1. I io SIZE (in sq, ft.): y� , 2. OVERALL HEIGHT: SIGNABLE WALL AREA tin 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. o) DATE OF DESIGN REVIEW APPROVAL (if applicable): 9) Applicant Signature: T /max / Dater n n � 10) Signature of Land/Building Owner:, 1 Do not write below this line --------------------------------------------- x----------------------- Fee:," S — ation: ❑ ejected c Date: 9'- -1,%g2 Code Officer Signature: Date: