HomeMy WebLinkAboutPermit Permanent Sign SN-95-37 - FAHC REPLAYSr-
'AAhk"1 s COPY
CITY OF SOUTH BURLINGTON, VERMONT
SIGN APPLICATION
Date, 17u<�u�f l� 199�i� Permit Number
Applicant_ / "Ie ekev- flsy_ , R rir„t
No. Street
Town or"City State Phone No.
Location" of sign 5cr t� Y
_I Name of usiness No. Street
Square footage of sign
Height of sign
Estimated cost `j 5,16? . Date of erection
Name of Erector
Consent of Owner:
.AJ'r n-r7`u7� fi. r! C^L
3 97 Burge- 9,-D
ress
50. 6Q
n or City
State
8"1 ;�- ? 6y
Phone No.
The ove named person is duly authorized to make application on
my beha I Believe the statements contained herein are true to the
be t o know,l ge.
gnature of "Application Signature of Owner
___________DO_NOT_WRITE_BELOW THIS:LINE ---------
-------- BELOW THIS-----------------
Application: REJECTED PPROVED-- _,' Date
Reason for rejection
Issued to
Fee Computatio k Code Officer /
Date /S 19 /j
Do m m O.Ar Gig (ro M EXI m