HomeMy WebLinkAboutPermit Permanent Sign SN-98-05 - MANSFIELD CPASIGN APPLICATION
Office Copy
CITY OF SOUTH BURLINGTON, VERMONT
Date!
Applicant CL-lax-,_CY/
19
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Permit Number
No. Street
Town or City State Phone No.
Location of sign '�-'l
Name of business No. Street
Square footage of signHeight of Sign
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Estimated cost Date of erection---,
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
her in are true to the best of my knowledge.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
Issued to
APPROVED _,./ Date
K
Fee Computation ' Code Officer
Date F `� 19
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Howard C. Mansfield
Certified Public Accountant
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Howard C. Mansfield
CERTIFIED PUBLIC ACCOUNTANT
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