HomeMy WebLinkAboutPermit Permanent Sign SN-18-36 - FITNESSOPTIONSk
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Permit Number SN--l409
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City of South Burlington, Vermont
Application for Permanent Sign Permit
OWNER RECORD (Name as shown on deed, mailing address, phone pd fax #)
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APPLICANT (Name, mailing address phone and fax #,_�_Af`Q�_5 DiA O(
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) hf -)s' tD oo-�6 G . I
SIGN ERECTOR (Name, mailing address,, hone and f #)� 5, QSi 1 t7C
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7) DATE OF ERECTION 0_) W_U-1 21 aSD) e
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type F STANDING SIGN
such as panel or cut-out letter)
1. t_ UaDSkf�e S1�1 Q l,�o�nlS SIZE (in q.
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2. SD. r r-,e `jt y l,i j5 OVE L IG
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�r�t�TeURT. W (in sq. ft.): TYPE OF ILLUMINATION:
NOTE: AAA scal 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 APPR V (if applicable):
10) Applicant Signature:"'" Date: 7
11) Signature of Land/Building Owner: �/��s.-.��1-7 Date: ' `li /P
•.••.••...................•...••••.•..•...•.................••••••.••.•...•...
Do not write below this line
Fee: App ' ation: Rejecte Approved
Code Officer Signature: Date:
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Option I Pinstripe
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