HomeMy WebLinkAboutPermit Permanent Sign SN-01-23 - CEDAR BLUFFCITY OF SOUTH BURLINGTON
DEPARTMENT OF PI[ANNING & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERNIONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN-
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
R-4a „ert.,_ , 4i-O _
yr�y 'r. �,NIG.j 8L-7—L 6 60 c5�95!-/ 2'., 56y- 324 4;T,,
64/L-
2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business name, address, & phone #): 66 0 - €gjSM
-S03 -307 Lirnc- 14 1L_ rzc � CF�(z, 13L-u Fe
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
�AlL wAT�i� LToo
[�✓-) .S ; 14 r��rL� it GSS�c l _
6) DATE OF ERECTION Jy/L/E ?x�
7) SIGN DATA SSE ILA-vSTA,AT)
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIG
such as panel or cut-out letter
1. - ) n
SIZE (in sq, ft.): .
r'T
2.
OVERALL DIGIT:
t (S�r /t.G ma,6 -rfi�►� ��
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
i
AV o/\_)6-
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Signature: Date: r✓��a- _zct,�
10) Signature of LandA3uilding Owner�� 1 r Date: 2<]C)/
seeeeoeeeeseeoeewoeeeeeeeeeeeeeeeeooeeeeeeeeeeeeeeeoeeeeooeeoeeeeeeoeseeeeeeeseeeweeeoeeeeeeeesaeeeeeeee
Do not write below this line
Fee:
Code Officer Signature:
ition: u Rejected
L
P-� �--
Date:
r-✓J 2w/JT�--z. ury� iT�
G-12,JJN r-'C
-T /7-7 �/ -06�/
VEO