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Permit Permanent Sign SN-00-42 - GRIPPEN, DONLANY, ROCHE
Assessor's Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date 6 Permit Numbers / Applicant No. Street Town or City State Phone No. Location of sign LZIYYI�' ���G %G�i fr©C/-1� 5 ��1� � .G] 1� Name of business No. Street Square footage of sign 4 Height of Sign Estimated cost ���� J Date of erection - Name of Erector //J Address Town or City State Phone No. Consent of Owner: The above named person is duly authorized to make application on my behalf. I believe the statements contained he n are ue�to the best of my knowledge. (i!/nlllture of Apfplicant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED PPROVE Date Reason for rejection Issued to Fee Computation Code Officer Date f G 19 L 1�" low N � GD&R r GRIPPIN, DONLAN & ROCHE, PLC CERTIFIED PUBLIC ACCOUNTANTS Burlington Insurance A enc Home • Auto * Business • Life f- 3 Baldwin Avenue TWO-SIDED SIGN • Painted MDO Plywood sign panels, with vinyl graphics • Pressure -treated 6 x 6 wood posts, with detailed post cap r-N