HomeMy WebLinkAboutPermit Permanent Sign SN-97-29 - PERSONAL FITNESSOffice Copy
SIGN APPLICATION
CITY OF 90UTH BURLINGTON, VERMONT
Date
Applicant ZlIql
YJ
No.
19 U
Street
Permit Number / / —a
Town or �dity / C( State Phone No.
Location of sign ,Yek01,7a< ///�Vjl/Aj��/b
Name of business No. Street
Square footage of sign �7 Height of Sign
Estimated cost Date of erection 4fk-ele
7
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
nZ
tru to the best of my knowledge,
Sig ture of Applicant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED ( APPROVED Date �� `;;L
Reason for rejection
Issued to
Fee Computation J-`' Code Officer
Date .9 //,-Y 19
i
Per Soinail Fitness IIriteirio►rs►