HomeMy WebLinkAboutPermit Permanent Sign SN-97-56 - VT INSTITUTE OF MASSAGEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date _ 71 19
Applicant1
0. : ' --IStreet
Town or City
Permit Number 71156
State Phone No.
Location of sign Y �. t - -- U
ame of busines No. Str et
l Square footage of sign `f 6 das,l,5Height of Sign
Estimated cost Date of erection
Name of Erector
Huuress
Town orb ty State
Consent of Owner:
a !�c a- - Q
Phone No.
The above named person is duly authorized to make
application on my behalf. I believe the statements contained
herein are true to the best of my knowledge.
LDS
Signature of A$ licant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED 4PPRQ� Date _
r
Reason for rejection lr!' 2--
Issued to
/ (A
Fee Computation Code Officer
Date 19