HomeMy WebLinkAboutPermit Permanent Sign SN-01-56 - BELL FIN. ENXCOPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, maili
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2) APPL ANT (Name, mailing address, phone and fax #)
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address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #):G�
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION
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8) SIGN DATA
WApf SI S (list sj e ' sq. ft., ill ' tion e
suc as e r cut- t le)(er
FREE-STANDING SIGN
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SIZE (in sq. ft.):
2
OVERALL HEIGHT:
SI LE ARE (in sq.
TYPE OF ILLUMINATION:
r4vir,: A scalea renaermg or each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN
10) Applicant Signature:
11) Signature of
APPROVAL (if applicable):
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Owner:
Date: // G"F " e
Date-'1a
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Do not write below this line
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Fee: ~ Applic tion: ❑ Rejec pproved
Code Officer Signature: �, Date:
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110 KIMBALL
OCCUPATIONAL HEALTH +REHAB MAGELLAN BEHAVIORAL HEALTH
McSOLEY McCOY & CO. enXco
BELL FINANCIAL SERVICES
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Design Signs, Inc.
644 Blair Park Road
P.O. Box 1048
Williston, VT 05495