HomeMy WebLinkAboutPermit Permanent Sign SN-01-40 - NEW COVENANT BAPTISTC7 Y OF SOUTH ' , TRL 7l��,`�,
DEPANYMENT ()F PIAN-NING & ZONLNG
575 DORSET STREET
SOUTH BIJRLINGTON, VERIVIONT 05403
(802) 846.4106
FAX (802) 846-4101
Permit Number SN--PJ--____l— =—
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing adds ss, phone and fax 4)
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3) SIGN LOCATION (include business e, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
S) STGN ERECTOR (Name, mailing address, phone and fax #):
6) DATE OF
7) STGN DATA
WALL SIGNS gist size in sq. ft., illumination, & type
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SIGNABLE WALL AREA (in sq. ft.):
NOTE. A scaled rendering of each proposed
noting the dimensions of each sign.
8) DATE OF DESIGN
9) Applicant Signature:
10) Signature of Land/Building Owner:
FREE-STANDING SIGN �
SIZE (in sq. ft.): �0
OVERALL HEIGHT: 7
OF ILLIMrNATION:
must be submitted illustrating the color of the sign and
iVA L if appli ble): 4,
e: ��ol
0: jv 'r 7-
Date:
Do not write below this line
Fee: Application: ❑ Rejected
Code Officer Sigmatun
2CApproved
Date. z % C/
A
710-11