HomeMy WebLinkAboutPermit Permanent Sign SN-97-03 - COSMOS DINEROffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date'
1
Applicant � ,�� �� `� � � � �ti� w C,
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No. Street
Permit Number
al 0.3
Town or City V State Phone No.
Location of sign �S "�oS D i A;-e°' I I ( G S
Name of business No. Street
Square footage of sign 3 Height of Sign
Estimated cost 'S J Date of erection Z /l'� Lq 7
Name of Erector S-d 0'e- It�A;r �rri� ►?r°"I�a�/�`I
co ► V4 CA41
A! Address J
Town a 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 best of my knowledge.
Signature of Applicant
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVE Date 3 /�
Reason for rejecti
A—
Issued to'�'��
Fee Computation � Code Officer &A
Date / `�� 19