HomeMy WebLinkAboutPermit Permanent Sign SN-96-19 - EMSMAR 20 '95 11:51 CITY OF S -D_RLI(AGT;)N
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date � 19 &
Applicant
No. Street
P.3/4
Applicant's Copy
Permit Number 714 — / 9
�117
Town or City State phone No.
Location of sign `> �`'�'�7�' Sf
Name of business No: Street
Square footage of sign Z8 Height of Sign
Estimated costDate of erection
Name of Erector f�/ �L S. G,U-S
�-
Address
U GG3 k�szzG38
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
he e n are tru to the best of my knowledge.
S' ature Y pplicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVE Date
Reason for rejection
Issued to
to
Fee Computation,.-9 Code Officer_
Date 15r/"� 19��
^14R-20-95 MON 11 :44 r,? Fn p7