HomeMy WebLinkAboutPermit Permanent Sign SN-97-61 - MARK WILLIAM MAOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date' 19 VL Permit Number
Applicant (,�`lC ji�i/l//ams
No. Street
Town or ,City State / Phone No.
v�
Location of sign / 414 �ii/l%l�l� le &)/)/l'C
Name of business No. Street
Square footage of sign Height of Sign
Estimated costDate of erection !1
Name of Erector
Town or City
Consent of Owner:
Address
State Phone No.
The above named person is duly
application on my behalf. I believe the
herein are true to the best of my knowledge.
Signature of Applicant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
p cc
Issued to
APPROVED / Date
Fee Computation Code Officer
Date 19�