HomeMy WebLinkAboutPermit Permanent Sign SN-99-46 - ANCHORAGE INNSIGN APPLICATION
Office Copy
CITY OF SOUTH BURLINGTON, VERMONT
Date �� 19 �
Applicant
No. Street
Town or City
Location of sign
Permit Number
State
Phone No.
Name of busXaess No. Street
Square footage of sign Height of Sign_
Estimated cost ate of erection �t
Name of Erector C \nc
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
he'i are t uthe best of my knowledge.
C
Signa\ture of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date l 7
Reason for rejection
A(h
Issued to 2 /A).t/
Fee Computation _ Code Officer
Date 19
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