HomeMy WebLinkAboutPermit Permanent Sign SN-95-30 - BREAKER'S BILLARDSCopy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, V RF MONT
Date 1975 Permit Number
Applic t Uh ie-ar:(A -/ zviy► Y-
No. Street
it 10 Al
Town or City State
Location of sign i
Name of business
Square footage of sign L V Height
Estimated cost 4D - Date of erection
Name of Erector _DI4.
Phone No.
-Use L51,41
No. Street
of Sign
I Li
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
Mherei''ar , ue to the beat of my no led e.
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"s ature of A icant S gnat re wn
DO NOT WRITE B OW THIS LINE
Application: REJECTED APPROVED �y Date
Reason for rejection
Issued to
Fee Computation `� - Code Officer �
Date /,''%' 19 ' 1�
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