HomeMy WebLinkAboutPermit Permanent Sign SN-97-51 - OLD HEIDELBURG-b;x wx,., I
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Applicant's Copy
Date a jft�h�L 19 Permit Number
Applicant
N.
S.
Town o
Location of sign
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Street
ity State Phone No.
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Name of business
No. Street
Square footage ofr sign lyo Height of Sign --L —
Estimated cost 6 Date of erection
Name of Erector
Addrq s Q
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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
herein are true Ito the best of my kno le ge
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Signature of Applicant Sig ature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED�RO ED Date PP
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Reason
�for
rejection
Issued to� %L U
CC ,,Gn
Fee Computation J Code Officer
Date " 19
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OLD
G,'E-----',,R(�'MAN
Breakfast
Dinner