HomeMy WebLinkAboutPermit Permanent Sign SN-18-18 - UFAIPermit Number SN- /� -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
Cresta Nedde 2, LLC 747 Pine Street Suite 501 Burlington, VT 05401 _
802-651-6888
2) APPLICANT (Name, mailing address, phone and fax #)^
Debra Ballard 1891 Williston Road Suite 31 South Burlington, VT 05403
802-310-4915
3) SIGN LOCATION (include business name, address, & phone #):-
1891 Williston Road Suite 31 South Burlington, VT 05403 802-310-4915�
4) TAX PARCEL M # (can be obtained at Assessor's Office) 1810-01891
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF F.RECTION� fi. S r' �,'��� CNf _
S) SIGN DATA _ _ —
WALL SIGNS (list size in sq. ft., illumination, &type FREE-STANDING SIGN
such as panel or cut-out letter) _
1 1 SIZE (in sq. ft.):
A C & r C. e . J —t
2. OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.)- ,, TYPE OF ILLUMINATION:
C, (k 1 u " f wj;2J
NOTE: A scaled rendering of each proposed sign must be submitted illwstratMg color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN RE)IJkW APPROVAL (i pplicable):
10) Applicant Signature: ''� Date:
11) Signature of Land/Building Owner: -14- 4`40ate: 2/21/18
Do not write below this tine
Fee: plication: Re' Approved [�
Code Officer Signature: Date: v' ��
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