HomeMy WebLinkAboutPermit Permanent Sign SN-18-28 - VASTA PHYSICAL THERAPYPermit Number SN- lb
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
J�ZSo.vJ LLL
2) APPLICANT (Name, mailing address, phone and fax #)
V&TA Play Se�+l -f�le vat Inc.,
3) SIGN LOCATION (include business name, address, & phone #):
TSB 7arsct St , S O V4\ ,,v i •n�tCl ll , [(Sol1599 - 22H `J
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
,..
VT 61�471
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as or cut-out letter)
FREE-STANDING SIGN
_anel
1. 36" r 14" z -13 V4 I ll VfA.%,+,cn = w�N MWAItQ
SIZE (in sq. ft.): Si r: LI7 4
2.
OVERALL HEIGHT:
i".
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 VIE ROVAL if.applicable): 5 / Z / I
10) Applicant Signature:Va Date: S 2
/1�
11) Signature of Land/Building Owner: a zd L Date: 02% /
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Do not write below this line
Fee: Application: Rejected ❑ Approved
Code Officer Signature: Date: �� �"
VA,VrA
PHYSICAL THERAPY
REF# KIOSK (DOUBLE SIDED)
KIOSK
PO Box 161, Montgomery Center, VT
justin@jddesignllc.com
802.734-3060
JDDesign
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