HomeMy WebLinkAboutPermit Permanent Sign SN-98-44 - INSOffice Copy
CITY OF SOUTH BURLING", VERMONT
SIGN APPLICATION
Date /� 19
Applicant
Town or City
Location of sign -�Lyr,
State
Permit Number
Phone No.
Name of business No. Street
Square footage of sign r Height of sign / 4�
Estimated cost 6-- Date of erection b&c
Name of Erector
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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.
Signatu e of hcato Signature of Owner
. V
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
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Reason for rejection f
Issued to o wc6b 1,4*r
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Vee- Computation Code Officer
Date
19�'.
Date
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