HomeMy WebLinkAboutPermit Permanent Sign SN-01-22 - PAINE WEBBERPermit Number SN-_QJ-
i
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
u�>a ( CLr S M 0 It'K 1. 4 e ,. C 4- d rA r r-P / / s .T
67*-o3 5r43 g57f-/
F 5'Ys = J 2- 5-3
2) APPLICANT (Name, mailing address, phone and fax
1f (M _ 71, r *�i � 2 F�Sy ,W?yT 4 l
lC q' 7 Y G Zc. c>
3) SIGN LOCATION (include business name, address, & phone #): pP/,t, e (, u .e L Lk
F 5,4 & - s'7c d
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION J u i V
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1 dvT e ,,T Oe Ne?, � ci4 SriT
SIZE (in sq: ft.):
2. d„ t—e , r to N ,n,s 9 c 15 f -, f Zcc v r, �
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
If' X 146, _ 1 (cU
TYPE OF ILLUMINATION:
NOTE: 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
10) Applicant Signature:
11) Signature of Land/Building Owner:
(if a
Date: 0 S— Z — n/
Date: D S - 2- --c-/
ooe0000000000000000000000000000000000000eooe000s0000e0000000000000eoe000e00000
➢90 not write below this line
000a000000000se000a000000000000000s0000000e000000000000000s000000000000000000•
40
Fee: V A ication: E Rejected — pproved
Code Officer Signature: (�� Date:
35, �15 "X 3?-,:),�t,,,
40