HomeMy WebLinkAboutPermit Permanent Sign SN-01-67 - MAYNARD'S AUTO SUPPLY!1
Permit Number SN-�-
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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 #)
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2) APPLICANT (Name, mailing address, phone and fax #
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3) SIGN LOCATION (include business name, address,
addreess, &I 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 #): �1'0_ /{ - 9A4,r
7) DATE OF ERECTION ~ /), / '�
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
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FRIE-STANDING SIGN
such as anel or cut-out letter
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SIZE (in sq. ft. ):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft. ):
TYPE OF ILLUMINATION: H
NOTE• A d
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sc a 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 REVIEW APPROVAL (if applicable):
10) Applicant Signature: Date: 112-
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11) Signature of Land/Building Owner: >1 Date: / � y' 11-
eeeeeeeeeeeeeeeeeeeeeeeeeessseeeaeeeeoeee•eseaeeeeeoeeeeeeeeeeeweeeseeeeeeeeee
Do not write below this line
eeeeeoeeeeeeeeeeeesoeaeeeeeeeeseeeeeeeeeeeeeoe•eeeooeeeeoseoe000eaAeeeeeoeeeee
Fee: A •cation: ❑ Rejected 1--Approved
Code Officer Signature: ^'L- �'� Date: �l ,30 G
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