HomeMy WebLinkAboutPermit Permanent Sign SN-01-70 - ALPHA GRAPHICSCITY OF SOUTH BURLENCITOIN
DEPARTMENT OF PLAI-TNINIG & ZONWG
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FA,X (802) 846-4101
Permit Number SN- 6 1 -10 -70
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax 4)
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2) APPLICANT (Name. rnaifirimg address, phone and fax 9
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax
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6) DATE OF ERECTION_QQ,_IL\S r,��f--
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
FREE-STANDING SIGN
1.
SIZE (in sq. ft.):
2.
j OVERALL HEIGHT:
SIGNA13LE WLLAREE (in sq. ft.):
TYPE OF ILLUMNATION:
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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 PROVAL (if qpplicable):
9) Applicant Signature: Date:
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10) Signature of Lan wilding Owner:
Date: 9!2 kc) 0 c, (
Do not write below this line
Fee: !!F. 02 Application: 0 Rejected ?(Approved
Code Officer Signature: Date: A
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A5 NOTED
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FB-6700-01