HomeMy WebLinkAboutPermit Permanent Sign SN-01-35 - PUBLICK WORKSCITY OF SOUTH BURLINGTON
DEPARTMENT OF PIANNEIiG & ZONING
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
(802) 846-4106
FAX (802) 846-4101
Permit Number SN- -
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business name, address, & phone .4v01XS
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
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6) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq. ft. ):
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2.
OVERALL HEIGHT:
iSIGNABLE WALL AREA in sq. ft.):
I TYPE OF ILLUMINATION:
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: Date:
10) Signature of Land/Building Owner: _ Date:
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Do not write below this line
Fee:
Code Officer Signature:
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