HomeMy WebLinkAboutPermit Permanent Sign SN-02-31 - KNOWLEDGEWAVEPermit Number SN- C1 ,-_
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 #) kn AW 1rJ(Ag tAy2 TVtGt; r irL
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3) SIGN LOCATION (include business name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) N3(c - CO03C) —CG
5) SIGN ERECTOR (Name, mailing address, phone and fax ft 14, A L' 0,.T
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7) DATE OF ERECTION_ _`__TUJ jA t4 k00 :�
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
_
$ XIto "CUM I(- 5
SIGN ABLE WALL AREA (in sq. t.):
TYPE OF ILLUMINATION:
Nu l L: 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 applicable):
10) Applicant Signature:
11) Signature of Land/Bi
Date: &kado'oi—
Date: b
..............................................................................
Do not write below this line
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Fee:
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Code Officer Signature
A 'cation: Rejected pproved
Date:
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PAY TO TH E ORDER OF
MERCHANTS BANK
1160002D
FOR DEPOSIT ONLY
H. GLAESER & CO, ]N0.
01472042
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