HomeMy WebLinkAboutPermit Permanent Sign SN-95-28 - CHURCH OF LDSOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date r.6 ;IL 4 19
Applicant
Permit Number q,s -0? 4��
AttA G6 11 hi ( c OT ? b a -C9 8 L L�
Town or City I Stal-te Phone No.
Location of sign hCM� Ci M.C.
Name of busViess No. Street
Square footage of sign g Height of Sign I
uf
�`^'n �1
Estimated cost
pu: c�► Date of erection filly ff/0
Name of Erector
Address voo
1 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
herein are true to the best of my knowledge.
I (Oro
Sign ure of App34'3 S' natu �f QcRer
rM t j A.o
DO NOT WRITE BELOW THIS LINE V
Application: REJECTED
Reason for rejection
APPROVED i Date
Issued to
Fee Computation Code Officer
( Date
Zf� 19 S i
73
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CONCORD PM GROUP
6036260774
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