HomeMy WebLinkAboutPermit Permanent Sign SN-97-16 - SHORT STOP NORTHOffice Copy
SIGN APPLICATION
CITY OF 90UTH BURLINGTON, VERMONT
Date /�/', �VC/� 2y 19 97 Permit Number ! 7
Applicant
No. Street
Town or City State Phone No.
Location of sign 5AAT W /l,�JU74 g'7 Y&zj1Atif I
Name of business No. Street
Square footage of signs !U� G Height of Sign
Estimated cost40
too
Date of erection A��L �� g`� 1,F97
Name of Erector S /3 1�2vLI-J-4)_5-7-A.)
U KLX-fi[J 'SJ-
Add e s s
!/00- 5-2-7
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 to the beat of my knowledge. _
awL YJ Lk)
Signat re of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Anr,l it -at inn • AR.TR( TRT1 11 APPROVED D a t a 6 ? /Y;�
Reason for rejection
Issued to
iv`J-t-
Fee Computation
Code
Officer
mac'- t-c/-�--�.
Date
ZL4Z/'
19
13
CASH OR CHARGE
REGULAR 9 9
Mobil
PLUS 1 .09 ,o
SUPER 1 .19 �p ---
ROAD
GRAPHIC 9CALZ
0 1 2 3 4 5 6
S. B. COLLINS - HINESBURG
MOBIL SIGN
vr. Ram � nww, wean
SCER
SC oM KNG ni®ems 1
ORAIYING NO.: 821-1-22 - o