HomeMy WebLinkAboutPermit Permanent Sign SN-99-06 - HOWARD MANSFIELDOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date °19 `/ Permit Number
Applicant %y ga,4�1,
No. Street
Town or Cit
State
Phone No.
Location of sign S�
Name of business No. Street
Square footage of sign Height of Sign
Estimated cost Date of erection G F
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 beat of my knowledge.
Signatu o r
Applie6ant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
K
RO Date
Issued to T*&UffAJ Ittly"Jr,/U( 1
Fee Computation Code Officer
C
Date 19
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