HomeMy WebLinkAboutPermit Permanent Sign SN-99-50 - CLIMATE CARESIGN APPLICATION
Office Copy
CITY OF SOUTH BURLINGTON, VERMONT
Date 19
Applicant
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Permit Number Z v
00 �iT 1 tir✓ 11f r� r
No. Street
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Town or Cityff State Phone No.
Location of sign
Name of business No. Street
Square footage of sign Height of Sign
Estimated cost 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.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
ito
Date
Issued to (- L/m,/7� 61e - - A
Fee Computation `r l Code Officer21d7
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Date 19
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