HomeMy WebLinkAboutPermit Permanent Sign SN-01-31 - SHORT STOP MOBILEv�
CRYED
CITY fly' SOUT BURLI GTOY _ E
DEPARTMENT OF PING & ZONING itN 1 .8 20
575 DORSET STREET SOUTH BURLINGTON, VERMONT 05403 City of So. Burlington
(802) 846-4106 g
FAX (802) 846-4101
Permit Number SN-0_- _
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 #) `
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3) SIGN LOCATION (include business name, address, & phone #)
4) TAX PARCEL ID # (can be obtained at Assessor's Office) I i 5 i,� -I f (0 - C
6) DATE OF ERECTION IrcU 2,0,-�, 1
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WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter
1. L: SIZE (in sq. ft.):
2. „ C �, _r
hoot E tl
SIGNABLE WALL AREA in sq. ft.)
NOTE: A scaled rendering of each
noting the dimensions of each sign.
8) DATE OF DESIGN
9) Applicant Signature,,
)N<<� I OVERALL HEIGHT:
TYPE OF ILLUMINATION:
sign must be submitted illustrating the color of the sign and
07PRO AL (if applicable): fib / —
i
S 3
. Date: / 3 0 1
10) Signature of Land/Building Owner:
Date: (, /N /0
Do not write below this line
aasssaeeeeoseaeaaoaeoseaseeeasaeaaeese0000aeoeeoosoaaeeaespeesosssoe•seseaeeseeemeseaseeseseeseemeoasea
Fee: Appcation: ❑Rejected .Approved
Code Officer Signature: Date: ft1
pFCEIVED
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city of So. Burlington