HomeMy WebLinkAboutPermit Permanent Sign SN-96-40 - TOWN & COUNTRYOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date C�� /19 Permit Number
Applicant
l� J - 604 � (OkQk�i
�� � ��
No. Street
&&W�- 7Z)
Town or City
Location of sign
E 0 A I
V oS-
State
AMP-
G-- yU,
863-//6
Phone No.
Name of"business No. Street
Square footage of sign ��Glr�1�7%l��C Height of Sign !'-
Estimated cost qS- v Date of erection A/'
Name of Erector l/ w t� C e
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 state nts contained
herein are true to the best of my -knowledge.
C
Signature of Applicant Signature wner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED Date
Reason /for rejection
Issued to
Fee Computation
Date
14D1 -
Code Officer
19 �'
FROM = CENTURY
YD=7043282176
Tow�COUNT�
FURNITURE SHOP
(�D
170