HomeMy WebLinkAboutPermit Permanent Sign SN-97-79 - IDX0t'1'i('1' ( op�
SIGN APPL. 1CAT 10N
CITY OF SOUTH BURLINGTON, VERMONT
Date // 19 L7-7 Permit Number
Applicant _ /( 2 ip 5D, Re 5/`i/L�
14 , UT� tei IJC
No. Street
,5 x , l c i/ / a .3-f Te-
Town or City State Phone No.
Location of sign
Name of business No. Street 1!
rwo St�1�S , o)3 j,3 U l �O /1u
Square footage of sign toHeight of Sign 3� f
Estimated cost ¢oo0 Date of erection
Name of Erector --/ �' S7-4-%`{?��
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
i true to t e est of my knowledge.
Sig ature of'Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED / APPROVED Date
Reason for rejection_ -
Issue to -^
Fee Computation
Code Officer
9
DateT—
No Text
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