HomeMy WebLinkAboutPermit Permanent Sign SN-01-30 - SHORT STOP MOBILEwc"U
CITY OF SOUTH BURY.EUk)tEDINGTOM
DEPARTMENT OF PIANNUIiG & ZONING M 1 .8 20
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403 Cityof So. Burlington
(802) 846-4106 g
FAX (802) 846-4101
Permit Number SN-_0L- 0 -
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
C,71
2) APPLICANT (Name, mailing address, phone and fax #)
S; & ( 6I I,,`, :7T_,r - Q.6, 1-ir, (_71
3) SIGN LOCATION (include business
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ss, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) tl,._o S 1 6 vo -I I to - L
5) SIGN ERECTOR (Name, mailing address, phone and fax #): S', l3. ( al l�_v�c
Pv , 13�x L7) S*.AIbu,.A- , k(
2-7—C I 1 1
6) DATE OF ERECTION f7c U 20Q, (
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1. " 14r 131_(r PON
f S 06LI S T U (. s- _- *
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA in sq. ft.):
I TYPE OF ILLUNIINATION:
750 s
NOTE: A scaled rendenng of each propo!Md sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN VIEW PRO AL (if applicable): I
9) Applicant Signature IS-5 s Date: 13 6 (
10) Signature of Land/Building Owner: ��2i~ Date: (,1N10
^. Do not write below this line
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Fee: ) o Application: ❑ Rejected approved
Code Officer Signature* ��.� Date:
o r-36
P,E: (7 E V E D
City of So. Burlington
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