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APPLICATION FOR PERMANENT SIGN PERMIT 1�064 ba 1 QK
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y a$' 521 Evergreen Way
Est. Cost:$
No 31580 Permit'Lo App
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005
Applicant/Business Name (Z-1 � �►�
Address �6' �L /
P one [
Location of Sign Pe S-41 bpi e r'c
Zone
TYPE of SIGN:
P ZWall or❑ r e-standina FIN ew or❑ Replacement Illuminated?eyes
Proposed Sign Size(square feet) ❑ No
G ) Sign Height No. of Existing signs on site
f�_Free-standing G Wall
Description of sign materials and lighting:
D .r' x S
ATTACH
Z L DIAGRAM OF
--p Signs. SIGN
I have read, understand and agree to abide by the South Windsor Zoning Regulations, Si INCLUDING
g DIMENSIONS
Applicant
Date p
Property Owner !rZ.
Date