HomeMy WebLinkAboutPermit Permanent Sign SN-96-46 - U MALLOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
i
Date % lj f
19 �!
Permit Number
Applicant
L '
No. Street
Town or City
State Phone
No.
Location of sign 1"
A ^�/f
Name of
business
No. Street
Square footage of sign !4
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 rue -,,to the best of my knowledge.
Sig.ature of Applicant Signature of Owner
t
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED 'Date
Reason for rejection
Issued to
Fee Computation
Date
Code Of f icer.�.