HomeMy WebLinkAboutPermit Permanent Sign SN-96-30 - THE ELECTRIC BEACH�y'? s2a 9
Office Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19�� Permit Number
Applicant
/ I (' a)/11 STZi0 Rop- rn
No. Street
Town or City �- State Phone
� /No . L�
Location of sign /n�c� ��_ ���� i zz')
Name of business No. Street
Square footage of sign / Height of Sign
Estimated cost Date of erection
Name of Erector &I
G�
Address
� _rje�
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 true to
the best of my kn edge.
Signature of Applicant Signature / Owner
k
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
APPROVED Date 64V-10
Issued to
/DU
Fee Computation�Code Officer
Date L'��1�� 19rA"
v-
42
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