HomeMy WebLinkAboutPermit Permanent Sign SN-18-14 - GREENE MT. SMOOTHIESi
e - (/ - Permit 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 #)
South Burlinqton Realtv Co. PO Box 2204 S. Burlington 05407-2204
2) APPLICANT (Name, mailing address, phone and fax #)
Jolene Greene Greene Mountain Nutrition and Smoothie LLC
26 Susie Wilson Road Essex Jct. VT 05452 802.662.5910
3) SIGN LOCATION (include business name, address, & phone ft
Greene Mountain Nutrition and Smoothie 1860 Williston Road #4
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1810-01860
5) SIGN ERECTOR (Name, mailing address, phone and fax #): Self
7) DATE OF ERECTION 3/1/2018
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
I .
SIZE (in sq. ft.)
2.
OVERALL HEIGHT:
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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 Signa e:��� Date:
11) Signature of Land/Bul ?ingOwner: Date: -
Do not write below this line
Fee: Ap cation: Rejec d Approved
i
d Co e Officer Signature: Date: �/
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