HomeMy WebLinkAboutPermit Permanent Sign SN-23-43 - AdaptHealthLast revised 11/2018
Permit Number SN-______-__________
Application for Permanent Sign
Permittee and Property Information
1) Applicant/ Contact (Name, mailing address, phone and email)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2) Owner of Record (Name, mailing address) _______________________________________________________
____________________________________________________________________________________________
3) Sign Location (include business name and address) _________________________________________________
_____________________________________________________________________________________________
Wall Sign Information
N/A or not requested
1) Principal Public Façade (see definition in South Burlington Sign Ordinance, p.7)
Describe (include street, descriptor, or compass direction as appropriate) ___________________
Area of Principal Public Façade_______________SF
2) Area of façade to which sign will be attached: Wall Sign A ________________ sf Wall Sign B ______________ sf
3) Sign Size: Square Footage of Sign A: ________ sf Sign B: ________ sf
4) Type of Illumination: Internal Other None 5) Sign Type: Panel Raceway Cutout Letters
Please attach sketches of all proposed and existing signs.
Freestanding Sign Information
N/A or not requested
1) Property information (include property size, road frontage, number of public accesses) _________________________
____________________________________________________________________________________________
2) Proposed Sign Size: Square Footage of Sign: ___________ sf Overall Height of Sign: ______________ ft
Please attach sketch showing location of free-standing signs, including distances from property lines and public entrances.
If in Sign Design District, note whether there is an approved Master Sign Permit.
Applicant Signature: ___________________________________ Date: _________________
Property Owner Signature: ______________________________ Date: _________________
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Do not write below this line – Administrative Officer Use Only
Application: Rejected Approved Fee: _______________
Code Officer Signature: ________________________________ Date: ___________________
From:Maureen HenryTo:Chris HenrySubject:Permission to obtain a sign permit.Date:Monday, September 18, 2023 3:51:32 PM
[EXTERNAL EMAIL] Attention: This email was sent from someone outside of AdaptHealth. Always use caution when opening any links or attachments in emails from unfamiliar senders.
To whom it may concern;
I authorize Christopher Henry to sign for and approve all signage for 1225 Airport Pkwy So. Burlington Vt.
Regards,Maureen C Henry
Sent from my iPhone
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