HomeMy WebLinkAboutPermit Permanent Sign SN-96-68 - ORCHID REST.Office Copy
SIGN APPLICATION
CITY OF 90UTH BURLINGTON, VERMONT
Date 19 7t- Permit Number L� Y e
Applicant
(" : /'' / f
No. Street
Town or City State Phone No.
Location of sign f c-c:
Name of business No. Street
Square footage of sign Height of Sign
Estimated cost Date of erection
Name of Erector
Address
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 best of my knowledge.
i aturp. of Applicant
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date /=L' �►
Reason for rejection���
70
J3/
Issued to
C�
Fee Computation Code Officer
Date