HomeMy WebLinkAboutPermit Permanent Sign SN-01-26 - MERLE NORMANPermit Number SN- 6)1 -�
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) APPLIC (Name, mailin a ess, phone and fax #)
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3) SIG OCATIONi(include business name, addr &phone #
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)_
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION
8) SIGN DATA
'WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
SIZE (in sq. ft.):
33
2.
OVERALL HEIGHT:
nGNAj3LE AREA (in sq. ft/.):
TYPE OF ILLUMINATION:
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NOTE: A staled rendering of eacfl proposed sign must be submitted illustrating the color of the sigri and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW) APPROVAL (if applicable):
10) Applicant Signature: Date: �r
11) Signature of Land/Building Owner• r Date:
Do not write below this line
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Fee: Ap¢1' ation: ❑ Rejected pproved
Code Officer Signature:
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