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HomeMy WebLinkAboutPermit Permanent Sign SN-99-17 - THE CLAYGROUNDSIGN APPLICATION Office Copy CITY OF SOUTH SURLINCTON. VERMONT Date &[10 19 Applicant clv)'/C-t�uK r Permit Number 156) ybpe�T No. Street S, 6?y0200J - 013 �o-T- . -251211? Town or City State Phone No. Location of sign "'C �j(,i© 1�5-0 0� Name of business No. Street Square footage of sign ��� Height of Sign Estimated cost �i0� Date of erection Name of Erector -r&)io) 6ATie �1C l�- GtVr4t6Z -Pe c �SC_ y C% Adrtas V -7 g7� ✓ g qTl Town or City State Phone No. Consent of Owner: The above named person is duly authorized to make a -ication on my behalf. I believe the statements contained Tl in re rue to the beat of my knowledge. . Signature of App icant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED APPROVED Date `/- /(, Reason for rejection -e— Issued to "2 . f�z Fee 'Computation�V�O Code Officer Date ��lv 19 7 Specifications 1 3 G� t ..t Irl ,—.**] 1: This drawing contains original design elements created by Twin State Signs and is subject 10 all copyright laws. This drawing is the property of Twin State Signs and is intended for your review and approval purposes only. It is not to be reproduced, copied or exhibited in any fashion or shown to anyone outside your organization without the expressed written consent of Twin State Signs. In the event that exhibition occurs without Twin State Signs expects 10 be reimbursed S500 in compensation for time and labor entailed in creating these plans. Copyright r 1997 PROOF READING ONCE YOU HAVE SIGNED AND DATED THIS FORM, THE COPY YOU HAVE PROOF READ IS CONSIDERED FINISHED ANY READY FOR PRODUCTION. ONCE THIS FORM IS RETURNED TO US SIGNED AND DATED, WE ARE RELIEVED OF ALL RESPONSIBILITY FOR ANY ERRORS THAT MAY BE DISCOVERED AT ANY TIME IN THE FUTURE. Acceptance of Condltlons----------------------------------------------------------------- Date --------------------- 14.5" Channel otters 9.7 square feet s� �t GA_ CN2N Date Client File Name Design by: Twin State Signs 14 Gauthier Drive Essex Jet., VT 05452 802-872-8949 802-978-0200 Fax