HomeMy WebLinkAboutPermit Permanent Sign SN-99-31 - LANG REAL ESTATEe, ,, Applicant's Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON,yERMONT
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Date �,Ax- 19 ( Permit Number
Applicant O v` G�(, 42j //&c
No.
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Stree
Town or City State Phone No.
Location of sign LOGY, %VQI&J,
N-ajj4 of business No. Street
Square footage of sign
Z, Height of Sign CL
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
ht7 n are ue'to the best of my knowledge.
ig ture of A plicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED �PPROVED Date
Reason for rejection
Issued to
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Fee Computation 7 Code icer�-j
Date 19
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