HomeMy WebLinkAboutPermit Permanent Sign SN-00-60 - WOMENS SOURCE FOR SPORTSSIGN- APPLiCATICN
Dade I 60 , �1 Is
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No.
Town or City
Street
Perm""'. Number
V\ v1 - .� 7 (4 3 - 3 z �_3
State phone No.
Location of a-lin iiU0VKD c_S _ )n U rr_0Cq S -3 o D0 J f
Name of btaa'n®ss _ S?4A41.' 11� A o. Streit
Squar a fcctale of sign
if .K. y q. Heisht of Sign
Rstiza tad cost Date of erection �% /
Name of 3rector
Address
Town or Ci t7 state Phcne I
Consent of owner:
� 9
The above zn..azed person is dui3r authorized to sake
wlication can m,7 behalf. I oelieve the 3tatement3 contained
se ar-a. true to he beat of my knowledge.
- 7,11L4x
�iI natuae 'o Appiicant Signature of Owner
DO NOT WEZTM 33LO1 THIS LIM
Application., RRJ=223
Reaaca for reject.i
- APPROVED Date d
� j
Zssued to % �/ aNaf I (�Y1�%�:t,�F
Pee Computation Cade Officer
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