HomeMy WebLinkAboutPermit Permanent Sign SN-98-03 - TCBYOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date
'✓/�'V �Z 19 Permit Number
Applicant J�J
No. Street
�rl,0G11,s
Town or City
Location of sign
Name of business No. Street
20�-
Square footage of sign <Height of Sign 4S
Estimated cost/� -� G� Date of erection
Name of Erector
State
Phone No.
e 4- c.111l,/'� e
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
here are true to the beat of my knowledge.
gnat re of ApplisKant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED. Date
Reason for rejection
Issued to
Fee Computation S Code Officer
Date
�.rs>Ntai' (5607.J9 Be€air Rid. +P�m �`0� BA! T1MORE, MD -112(6
(4 f 0) 426-3030
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