HomeMy WebLinkAboutPermit Permanent Sign SN-95-42 - FASTENAL COOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date `'4`1`A S� 19 Permit Number
Applicant 6 � j % r �/) L
37s- 6 on
No. Street
50 --A 6U, 1" ^S fo Ur T
Town or City / State Phone No.
Location of sign f A STD NF L (y r X ,s-r _l S f
Name of business No. Street
Square footage of sign 2� Height of Sign '(V��_
Estimated cost �J U Date of erection S�
Name of Erector ���1� �� "
Address
Town or City State Phone No.
Consent of Owner:
The above named person is duly
application on my behalf. I believe the
he ein e tru o t best of my knowledge.47
'iX
authorized to make
statements contained
Signature of Applica t Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Date
Reason for rejection �� U
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Issued to 2P� L -"
Fee Computation `-
Date
Code Officer
3� 19 �j�
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