HomeMy WebLinkAboutPermit Permanent Sign SN-97-75 - GOURMET BUFFETApplicant's Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19 C/_� Permit Number
Applicant e 4
Xy
No. Street
SO �G12 �lti y 7`-D o� d7Z
Town or City
Location of sign
State Phone No.
cep-"�1/J
Name of business No. btr et
Square footage of sign 6 Height of Sign
Estimated costlao v Date of erection
-
Name of Erector
Town or City
Consent of Owner:
Address
State
The above named person is duly
application on my behalf. I believe the
herein are true to the---bWst of my knowledge,
Signature of Applicant Signature of Owner
Phone No.
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
APPROVED
Date
Reason for rejection
Issued to
to
Fee Computation Code Officer'
Date /Ul& 119