HomeMy WebLinkAboutPermit Permanent Sign SN-99-60 - ACUPUNCTURE VTOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date U 19 r �'
Applicant C-"P
Permit Number
7
F F--re
P�
No.
Street
j�
Town
or City
State
Phone No.
Location of sign
Name of
business
No. Street
Square footage
of sign
Z �
Height
of Sian
Estimated cost 96"
Name of Erector A V AN
Date of erection
3ZE.KfE l� C��p �-
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.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
t
Reason for rejection
Issued to
cw
Fee Computation Code Officer
Date 19
Cj<
ro
ACC
o?,; ot �� IIK