HomeMy WebLinkAboutPermit Permanent Sign SN-18-59 - 340 DORSET STREETPermit Number SN- 18 - 600
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business nazmq, address, & phone ft
4) TAX PARCEL ID # (can be obtained at Assessor's Office) Q 5-76 ` 0a;fyr
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
V -�! — -7ti' A 4 IF AP54K
7) DATE OF ERECTION
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out tter) -
1. ,c�p .S� �'� H X /V ..� G'Bri'SL %UG�
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SIDE (in sq. ft.): A�-pon e/5
Lr 440 ILI
57., S - �•�h..)
_
2. .2,L( s�a 11Y 6,
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
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.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: 4Z�� �� Date -AI - /,3 - / $
11) Signature of Land/Building Owner: �, {,G O� I Date: 1 J/3 -/ e
i#i#••!##!!filr#!!!itri#i!•••i!!!!!!!i•i!i!liri#f!r•#!i!!!liri#•!#!#!!••!r#!ii
Do not write below this line
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80
Fee: Application: Rejected Approved
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Code Officer Signature: Date: 1 ) `� V
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SBSiGNS
I N C O Ft PO R AT 1=0
466 Shunpike Rd, Williston, VT OS44S
T802/879/7969 • F802/863/9772 • info@sbsigns.net
SBSiGNS
I N C O R PO R AT EO
466 Shunpike Rd., Williston, VT 05495
T802/879ng69 • F802/863/9772 • info*sbsigns.net
GeriReilly
REAL ESTATE
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SBSGNS
INC O R P"R ATE ED
466 Shunpike Rd., Williston, VT 05495
T 802/879/7969 • F 802/863/9772 • info@sbsigns,net
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