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Permit Permanent Sign SN-98-27 - OLD HEIDELBURG
Office Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date ��/ 1�� 19 9� Permit Number 70 WX Applicant ��'�lU /2w/Ir QC) AF.iU� No. f Street / ,(� U{v1/1'JC J�©6? // Town or Cit State Phone No. Location of sign (-)L V l-/6Gf,.LQ.�(2942 _ /6?/6 -3he1Q600f /-e©c '. Name of business No. Street l Square footage of sign �"' Height of Sign Estimated cost Date of erection Name of Erector 0 6J O 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. Sitnature of Applicant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED `APPROVED Date Reason for rejection Issued to Fee Computation's Code Officersl'Ia<-.-e�-1� t-%' Date 4�xz 19 WAS fe