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Permit Permanent Sign SN-01-62 - PERRY, SCHMUCKER &GOLDS---
1) CITY OF SOUTH BURLINGTON DEPARTMENT OF PLANNING & ZONING 575 DORSET STREET SOUTH BURLINGTON, VERMONT 05403 (802) 846-4106 FAX (802) 846-4101 Permit Number SN- - (� Application for Permanent Sign Permit -as shown on deed, mailing address, phone and fax #) 2) APPLTCANT (Name, mailing address, phone and fax #) 161 L 19eAA y 3 O o o lam , 12, � �,. /e d _ S . (3 cv.�n�•: �o.. V r- o sY o3 R'LZ- 9 6 1 - 'ysSk r-,= Ed2 - :�,6�- 093� 3) SIGN LOCATION (include business name, address, & phone #): SCJMJ• kc,4c*n 44, CaoI AsLru-1w.. k PLLc ?Ooo Sr Q ,I �•. , yr os-Ya3 S'd Z — 63' Y 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, phone and fax #): J - o 5 5y 03 sw_ - y6 ? - 6 9_3 ::C.-, F-0 2 - S-G3 - 6 3r a �- 6) DATE OF ERECTION c- , ✓� e.1 2 o v 7) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter 1. 3 O S F , � , /(cam, ,,, lr•- , , 'elf SIZE (in sq. ft. ): 2. OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUN IINATION: lay SF 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 APPROVAL (if 9) Applicant Signature: r%j % Date: V NCIy ':2-Oo j 101 Signature of Land/Building Owner: Date: •®oo�®oo©wen�weom�����wqN®e®®o®®ae®o®® 000 o oue�e®eo.oaemoueoe®®wo6©o Do not white below this line ���aaaa�aa�aM�aaa���y�aa�®a�w.sF�ea�ae���:���vweo�.®$aug�owas�aoaa�s�6evsaaar�®e�Aoawaa-ova ®says®aa�;����b� Fee: S^ 'ppl'cation: e'ected Z- pproved / d Code Officer Signature: vats:4*/ Perry, Schmucker & Goldsborough, PLLC i 1/2' high x 20' wide Eight inch Carved Prismatic Letters painted classic nary Mounted on silver gray backround Letters r' thick high density urethane Background aluminum composite • 1 1 ss s'' �,