HomeMy WebLinkAboutPermit Permanent Sign SN-95-41 - BURLINGTON PENDLETONApplicant's Copy
CITY OF SOUTH BURLINGTON, VERMONT
SIGN APPLICATION
Date, 19 rj Permit Number < ��
Applicant ^�,,";S�cJcc_546C1-
No. Street
Ir
Town or.Cit State Phone No.
Location of sign i� ' . e cam. _ ►&-ms�..Lti..a... 9'' �.
.-,I Name o siness No. Street
Square footage of sign _.,)a``x�L Height of sign
Estimated cost 7(!x. o7 Date of erection
Name of Erector
Address
Town or City State Phone No.
Consent of Owner:
The above named person is duly authorized to make application on
my behalf. I kelieve the statements contained herein are true to the
best of my knowledge.
S gn ture of Application Signature of Owner
------ _------- _____DO_NOT _WRITE BELOW THIS:LINE
Application: REJECTED �P!PROVED Date
Reason for rejection
Issued to ✓� 6.� ,(G� - —
Fee Computation 5-- Code Officer
Date ��� 19
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