HomeMy WebLinkAboutPermit Permanent Sign SN-98-45 - TANGO SALONOffice Copy
SIGN APPLICATION
Date
Applicant
CITY OF SOUTH BURLINGTON, VERMONT
19 TU Permit Number 70 Is
2nee 4, ee e
�y � y �,//ems � .� Via✓
No. Street
Town or City State Phone No.
Location of sign
iCJf a Sa%/X J—;6"9--
Name of business No. Street4,4
Square footage of sign � Height of Sign
00
Estimated cost 5�a0 Date of erection
Name of Erector v
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 best of my knowledge.
J,44
gnature of plic "t
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection �v-�—
Date
Issued to A--C- �-Iy---'
Fee Computation_/ /O00 Code OfficerQ-�-
Date/919T
r / TZD B iv��+A� l-t-�s I� i �t t'7U St orvf
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