HomeMy WebLinkAboutPermit Permanent Sign SN-01-05 - STICH BY STITCHSIGN APPLICATION
CITY OF SOUTH SUIRL,?NGTON , VIRMCNT
J
Applicant �Lnnv-\C"
o. Strett
Tawn or Cat$ State Phone No.
Lccatlon t? a sign, 54 I &, 1k y\ .ly C)
Same of buzin4ss No. Street
In Haij�4t of Six=
'Sateza tee Cc y + Date of erection
?daze of 37*ctor /5 Pv-oQ--C j
Addrazi
Town or Ca.t7
Ocnaent of Cwner2
State PhCne No.
The ago-Ve n.aMed perZCM jS , UILZr 'aUtharj--ed to Make
application on m7 behalf. I beliave tha atatements coma med
:sere ° arm- true to the best of m7 knorr3e e
_i =attr2 Ci Apyl ioant Signature of Chin
lJ
3sa,ued to �fl C17 '
Fee Ccxputat-J on S- CCde Officer
Bate
'S,Id e c�
I