HomeMy WebLinkAboutPermit Permanent Sign SN-96-65 - TRIUMPH GLASSOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
,
Date b19 �� Permit Number 16 -- ( - 1
Applicant 1 ���• 5��..c S�c�.�S
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No. Street
Zsscl'e v)7 t3z-
Town or City State Phone No.
Location of sign
Name of business
No. Street
Square footage of sign o>_T� d y JJO Height of Sign
i
Estimated cost f{ ?ZW- Gt-D Date of erection
Name of Erector
Town or City
Consent of Owner:
Address
State
The above named person is duly
application on my behalf. I believe the
herein are true to the best of my knowledge,
Signt6ture of Applicant Signature of Owner
Phone No.
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Issued to
APPROVES Date
Fee Computation Code Officer
Date / s 19�G
1