HomeMy WebLinkAboutPermit Permanent Sign SN-00-103 - VT SANDWICH COSIGN APPLICATZON
y 171 OF SOUTH 3URL INGTON , Y7RMCNT
Dates JM-b/ is Fermi —L Number
Applicant V)�RM D/\I l 5,4612Lf/ �. �. 1J�Ci
Na v Street
6ssEx Jc7
Tcwn or City / State Phone No
Location of sign e �/G
Fame of buzisness No. Street
Squaxs foctaae of aisn Height cf sib 3(�
23timated ccst 500a• Date of erection
Name of Rrector J vX4nl M F--rnU )�,
Address
VT- 53f2
Town or City State Phone No
Consent of Owner
Tha a'bove namoed perzcn is c u2y authorized to zake
application an mg behalf. i 'believe the atatemen-t3 ccantaim�ed
he ein ar trine, to the best of m:7 W1edae ,
G2'LIZBa _
ancature of Applicant nature of Owner
DO NOT WEITZ 3 ELCW THIS 1L2
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Application: R3JECTSD A.PpRO`MD Date
Reason for rejection
13$uet� toV(riii» c ��
Fee Computation�Code Officer
Date 2/del-
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2- 9
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