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HomeMy WebLinkAboutPermit Permanent Sign SN-00-32 - ARC INSURANCESIGN APPLICATION yiTY OF SOUTH SURLTNOTON V7RMCNT Date Permit Number Applicant gas- -10-j s — No. Street Town or City Phone No. Location of :ism -T.JSU4vCe,- (ZI `' Sti,j_;aR,Je. /�?C( Name of buzIneaa No. Street squar9 100tase of Sian Heisht os Sisn 23tiMate cc.St `)L:, Date of erections A Naze of Erector C-Address 'own or City State Phone No. C,onaent of Owner The ,a : ave named Per2C n i a d-Uly applications on z7 behalf. I believe the h� eisa re :true to the feat of min®c,r3ece c` 6F � aut-horized to make Statements contaizaed Signature of Applicant Signature of {der DO NOT WRITE EEDCW THIS 1LI Application: R3JECTED Reason for rejecti PROLi Date laaued to 4caj4 /,i .. AR, Pee Ccaputati Date Code Offices r�/Go 3 �c�a���SiJ2 I FT' 3