HomeMy WebLinkAboutPermit Permanent Sign SN-00-56 - MINUTEMAN PRESSCffiet CoP7
SZCN APPLICATZCN
OF SOUTH BURLZNCTON , V7RMCNT
1)3te i_ --� JaG Permit Number
Applicant
�
No. str*et y y�
C4n , 1.1) U 1 1
Town or Cit.7
Location of sign
Name cf buxiness
State Phone No.
No. Street
Square fco a e of sign 3
Raiaht flf sism
rl
23timated ccs t Date of erection U
Mame of 2rectzr
I EC UT-1
Address
Town or City State Phone No
Consent of Cwner;
The move named person is duly authorized to sa-ke
application cap e7 behalf. 3 believe the ztatements contained
herein arw true to the beat of m7 knowledSe .
Qn,
9isnatux4 of plicant King f er
DC NCT WRIT2 33LOW THIS LI
Applicationi RBJ2CT2.D l 1� Date �d C=_
Reason for rejection
Issued to L � /V A iX
Gv
Fee Computation � Code Officer / _ adz
I)ate �a ��
(1) FVA#-4._\/R6-k�)
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