HomeMy WebLinkAboutPermit Permanent Sign SN-96-25 - THE ELECTRIC BEACHOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date ��! 19
Applicant
No. Street
Permit Number
fo-e-111;q19 4 0-1Y G
Town or Cit State Phone No.
Location of sign �� �PeZ ���cG� /w6/
Name of business No. Street
Square footage of sign �/• S Height of Sign
Estimated cost Date
of erection
Name of Erector'/��/�`�
Town or City
Consent of Owner:
Address
State Phone No.
The above named person is duly authorized to make
application on my behalf. I believe the statements contained
he�e�n are true tq the best of my knowledge.
Sig ture of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date V//Z / Z
Reason for rejection
Issued to
rocs
Fee Computation— CLJ Code Officer LLt�L�L
Date -- �� (� 19 ��
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SCALE
This plan and all arrangements shown on it are the sole property co p =
ny of Design Signs. Aform of reproduction of this plan in whole or in W ?
part is prohibited. This plan is not to be used for the construction of o � 0
DATE
any design without first obtaining written permission from Design Ln o N
Signs. .1
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