HomeMy WebLinkAboutPermit Permanent Sign SN-01-07 - FREED PEETPermit Number SN-- C�
City ®f South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER O RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & 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 ERECTIONJ- / (�'I
S) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.):
pone( No "776,
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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NOTE: A scaled rendering of each proposed ign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: Date: 211 v%
11) Signature of Land/Building Owner: Date: L/
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Do not write below this line
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Fee: Application: ❑ Rejected UApproved
Code Officer Signature: Date: /161
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