HomeMy WebLinkAboutPermit Permanent Sign SN-99-61 - GRIPPEN, DONLAN & ROCHEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date r 19 Permit Number
Applicant Z—Zt
P2���'���Y°
No. Street
Town or City
Location of sign
State
'� U ,4/L''GI &1 Y le? tkt-
Namd4 of business
Phone No.
No. Street
Square footage of sign Height of Sign
Estimated cost U Date of erection
Name of Erector
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
herein are true to the best of my knowledge.
igna ure o icant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED PP�VB -, Date
Reason for rejection
Issued to
Fee Computation
Code Officer
Date /��� 19 ��
7.5' wall
$O 1
ALUMINUM LETTERS AND LOGO PLAQUE ON WEST WALL