HomeMy WebLinkAboutPermit Permanent Sign SN-98-62 - LASKEY MASSAGE31ON APPLICATION
Office Copy
CITY OF SOUTH BURLINGTON, VERMONT
Date 11� AI L
Applicant - L-Astt
19 Permit Number O
No. Street
Town or Ci`y State Phone No.
Location of sign %--yokk,� M'Mcu"yy; 91 W V.
Name of;businesd No. Street
Square footage of site 1
�� Height of Sign
Estimated cost - ) Date of erection 1 /1 /1y
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 owledge.
Sign ure of Applicant ��&_ture of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVE DatLdI4U
Reason for rejection �-e--
Issued to /9.
Fee Computation Code 0 ficer 'J'Q
Date 19 ��