HomeMy WebLinkAboutPermit Permanent Sign SN-96-41 - BED & BATHApplicant's Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date A vnsg 19 _
Permit Number
Applicant ►t1 S�� VC S it
No. Street
t! 5s e-,x , , \T —k 8I?-- fc-y << �
Town or City J State Phone No.
Location of sign o�1301A
Name ot business No. Street
Square footage of sign 0 Height of Sign
Estimated cost :V ►Issoy Date of erection
Name of Erector
Town or City
Consent of Owner:
Address
State Phone No.
The above named person is duly
application on my behalf. I believe the
herein are to the best of my knowledge,
Signibture of Applicant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Issued to
APPROVED---- Dato(�
Fee Computation ✓ Code Officer
Date �� 19�L�'
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