HomeMy WebLinkAboutPermit Permanent Sign SN-00-30 - REPLAY'SS?�-) s� .
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C�ffica- Cagy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, Y7RMONT
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Permit Number OO
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Gov Street
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Town or City State Phone No
Location of misn tK64A-S oo-f ,
Name of usiness No. Street
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Square Footage of sisn �� ✓c� �'� Heisht of sissn Z��.�
Estimated ccat Date of erection i1y/lic ofoc O
Nate of Erector Kai -s(f�ume sCiiou)s
Address
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Town or City Mate phone No.
Consent of Owner
The above named perzoan is duly authorized to make.
application on my behalf. I believe the 3tatementa contaiAed
sign a e- t ue to the beat of z7 knowledge.
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sisna a of App a ant Sagnat a of der
DO NOT WEITZ BELOW THIS LIN3
Application: REXECTSD
Reaacn for rejection
lazued to
Fee Computation Code Office
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Date 4 Z, F4 2o—/J
Data 74y