HomeMy WebLinkAboutPermit Permanent Sign SN-01-20 - HERITAGE FORDPermit Number SN-6-
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City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
Heritage Motors, Inc P. 0 Box 1100 Burlington. VT 09402-1100
865-8222 Fax 865-8279
2) APPLICANT (Name, mailing address, phone and fax #) David Bergeron
P.O. Box 1100 Burlington, VT 05402-1100
865-8190 Fax 865-8279
3) SIGN LOCATION (include business name, address, & phone #): HP r i t a gP
Ford 1600 Shelburne Road 865-8100
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1 5�40-160 0 . (-
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
Twin State Signs, 14 Gauthi2r Drive, Essex Junction, VT 05452
872-8949 Fax 878-0200
7) DATE OF ERECTION May 1, 2001
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1. 66 sq. ft. non -illuminated.
ruh-nut letters.
SIM (in sq. ft.):
2. 16 s q . f t . non -illuminated.
OVERALL HEIGHT:
cut outletters.
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE: A scaled 1 endering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if a plicable):
10) Applicant Signature: % h e Date: i b
11) Signature ofLand/Building Owner: Date: yid C
•eeooeoeeeeeeoeeeoeeeeeoeeeeeeeeoeeeseeoeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee•
Do not write below this line
ooeeo®eeoeaeeseeoeeeoeoeeeeeeeeeeeeeeeeaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
Fee: f _ Application: ❑ Rejected ® approved
i
Code Officer Signature: i �� Date:
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