HomeMy WebLinkAboutPermit Permanent Sign SN-95-29 - CHURCH OF CHRISTOffice Copy
Date
Applicant
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
19 Permit Number
-41.1 AJ 0,1 rI'd-
No. Street/ Cf� 7-67
zy'l�h� lS`C� �l7775�-
Town or City (I— State / Phone No.
Location of sign I� 1"c-�� �_ C�,,��G� 3G� be"t)
;
Name of busiin2sV No. Street Q'' 1
ju
Square footage of sign / 3 Height of Sign U X
Estimated cost P 2 Date of erection _ rJV /U ,l f
: A . . 4 I
Name of Erector
Town or City
Consent of Owner:
Address
State
The above named person is duly
ap li ation on my behalf. I believe the
h t th b t f k owledge
Phone No.
authorized to make
statements contained
is
are rue a es o my n
hs
Sig ature of Applicant Signature o Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
APPROVE
✓t
I s sued to
Fee Computationw� Code Officer
Date !/x� 19i��
Date 7/xyl�I—
k
IN
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