HomeMy WebLinkAboutPermit Permanent Sign SN-01-52 - PBLCITY OF SOUTH BURLINGTON
(DEPARTMENT OF PLANNING & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- 0
Application for Permanent Sign Permit
1) OWNER OF RECORD ('Name as sho n on deed, inailing address, hone and fax #)
(3 L
2) APPLICANT Name, mailinaddress, phone and fax #)
IGN LOCATION (include business name, address, & phone #):
QLi&.
i
4) TAX PARCEL ID # (can be obtained at Assessor's Office).
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
6) DATE OF ERECTION IDC , 00
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1. 16 5a-ri Q1AA 01A LIQ44-4v_
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUNIINATION:
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 applicable):
9) Applicant Signature:
10) Signature of Land/B
Do not write below this line
Date:
Date: T Q
•ssssseassseaeseee"es®ssseesoasia®ae®®seas®e®aeaeasa®eseaeesasa®seaees®ss®•eseoeaesesy�seseseeeeesee
Fee: o �J �lication: ❑ Rejected (approved
Code Officer -- Signature: Date:
No Text