HomeMy WebLinkAboutPermit Permanent Sign SN-18-09 - GREENE MOUNTAIN SMOOTHIEPermit Number SN-�1L0 q
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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
such as panel or cut-out letter)
FREE-STANDING SIGN
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SIZE (in sq. ft.):
2.
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: Date:
11) Signature of Land/Building Owner: ate:
00*000 000 00 0*0000*0000**e 00 00000 0 00090 60000OZ000000000600000000 00*000 000 * 0 so*
Do not write below this line
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Fee: A plic tion: Rejec Approved
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Code Officer Signature: Date: ( 4
2/21 /2018
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PLEASE GIVE THIS PROOF A THOROUGH REVIEW
AND RESPOND WITH "APPROVED" OR "NEEDS CHANGES"
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