HomeMy WebLinkAboutPermit Permanent Sign SN-96-38 - TOWN & COUNTRYOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19 /4P Permit Number ` �U
Applicant /'�� x �%au �'tJ.v� �u.e.v.� ti,G �_
No. Street
Town or -City State Phone No.
Location of sign _/ 0
Name of business No. Street
G uT GJa�
D ci j� e r.0 1 1/
Square footage of sign Height of Sign
Estimated cost� u ' 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 true to the best of my knowledge,
Signature dY Applicant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
0
Issued to
APPRO Date 7LG
MM
Fee Computation Code Officer
Date 1e
Yc
X
Town&CountryturnitureShop
1515 SHELBURNE ROAD SO. BURLINGTON, VT 05401
(802) 863-1165
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