HomeMy WebLinkAboutPermit Permanent Sign SN-98-41 - AESCULAPIUSOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date �, r � 19 Permit Number r� 1
Applicant r1�1`2� (
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No. Street
Town orVCity
Location of sign
State Phone No.
Name of business ' No. Street
Square footage of sign SCe a �'`�"'" Height of Sign fee Q�°�
Estimated cost 2)CA) Date of erection
Name of Erector ���- ��5�� r`
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Address 6
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
%eianrVt,: to the best of my knowledge. ,
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9 iaat 7
e of1pilicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED PPROVEI) Date
Reason for rejection k
Issued to�'�
AU
Fee Computation tb
Code Officer. �/ep
Date / 19
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