HomeMy WebLinkAboutPermit Permanent Sign SN-95-31 - AUTO-HOME CHIOFFIOffice Copy
Date
Applicant
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
19 �~
Permit Number
JaY (I
No. Street �/-
Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign Height of Sign Z_—
Estimated cost ��� Date of erection
Name of Erector
' Address
Town or City
Consent of Owner:
State Phone No.
The above named person is duly
application on my behalf. I believe the
herein 0
r e to the best of my knowledge,
Signatu a of itpplicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
APPROVED
Issued to
Date
Fee Computation Code Officer /F�- �` {✓�
Date ��� 19 K
authorized to make
statements contained
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ocean Insurance 329 Dorset Street
South Burlington
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