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Permit Permanent Sign SN-96-45 - UA LOCAL 693
Office Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT /'!Z� — � I --,Date l� 19 -7 Permit Number Applicant Laedl �/ © r :3 CP r rr iz 6'r ire No. S eet Town or City State Phone No. Location of sign 3eoOero 3tS,�4itr Name of business No. Square footage of sign ' Height of Sign Gam/ Estimated cost ��/ Date of erection ,y�, Name of Erector V L 0Ica- It -3 A. Addre � 1? / / J > & 12 , Town or City `,/ ' State Phone No. Consent of Owner: The above named person isA�divauthorized to ke application on my behalf. I belie state a co ained herein are true to the best of my kne. Signature of Applicant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED Reason for rejection Issued to APPROVED _�) Date on Fee Computation Code Officer CC Date a a Z-7