HomeMy WebLinkAboutPermit Permanent Sign SN-97-21 - BODY LE BRONZEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 1_ )U - r 19If I Permit Number ?7 —7-�
Applicant
No. Street
Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign cl- I � � ' Height of Sign
Estimated cost - �UC) Date of erection
Name of Erector UJC-�r✓,,i �0 66rf
Cum
Address
Town or City State Phone No.
Consent of Owner:
The above named person is duly
application on my behalf. I believe the
herein are true -,to the beat of my knowledge,
6, .
Sign tur of Applicant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED "APPROVED Date
Reason for rejection
Issued to
Fee Computation v Code Officer Z mow'
Date �!�`�� 19