HomeMy WebLinkAboutPermit Permanent Sign SN-01-55 - GATEWAY SHOPPING CENTERC,1/27/1995 06:53 8028636037 THE OUTLET CENTER PAGE 02
Permit Number SN•-
City of South Burlington, Vermont
,application for Pern-went Sign Permit
1) OWNER OF RECORD (Name as shown on deal, mailing address, phone and fax 4)
2) APPLICANT (Name, mailin; address, phone and fox S (mN
3) SIGN LOCATION (incitije bminesf. name, address, & phone hl).
4) TAX PARCEL U) 4 (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Nantc, mailu►g address. phone and fax 4): 7r7, —ft S
7) DATE OF ERECTION.— f 0 V t 0
S) SIGN DATA _
WALL SIGNS (list size in sq it, illurwuttion, a tvp<
I such as Panel or cut-cwt letter)—
1
2.
SIGNAI3LE WALL AREA (in sq. ft
NOTE. A scaled rendering of each proposed sign must be
noting the d'unensiuns of each sign
FREE-STANDING SIGN
(in sq. ft y T C)
OVERALL PEIGM'. ') U
TYP ' OF ILLUMINATION-
subrutted d1ustrating the color of the sign and
9) DATE OF DESIGN REVtFW APPROVAL (if applicable).
10) Applicant Signature: Date: �_t� L p
11) Signature of Lan&Buiidinn weer 7 a Date:
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Do aot Mri below this lint
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Fee: phesti nn. Ro ected pproved
Code Officer Signature �' -- — �__---- Date: _
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This drawing contains original design elements created by Twin State Signs and is subject 10 all copyright laws. This drawing is the property of
Twin State Signs and is intended for your review and approval purposes only. It is not to be reproduced, copied or exhibited in any fashion or
shown to anyone outside your organization without the expressed written consent of Twin State Signs. In the event that exhibition occurs without consent,
Twin State Signs expects to be reimbursed S511 in compensation for time and labor entailed in creating these plans. Copyright •
PROOF READING
ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED AND READY FOR PRODUCTION.
ONCE THIS FORM IS RETURNED TO US SIGNED, WE ARE RELIEVED OF ALL RESPONSIBILITY FOR ANY ERRORS THAT MAY BE
DISCOVERED AT ANY TIME IN THE FUTURE.
Acceptance of Conditions----------------------------------------------------------------- Date
Specifications
Date
arj
Client
File Name
Design by
Twin State
Signs
14 Gauthier Drive
Essex Jct., VT 05452
802-872-8949
802-878-0200 Fax
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