HomeMy WebLinkAboutPermit Permanent Sign SN-95-25 - KFCOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date I 1 _� 19 j Permit Number 7 `�
Applicants
No. Str t
Town or City State Phone No.
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Location of sign � y �� � 1 b_xvxe
Name of business No. Street
Square footage of sign _AeaHeight of Sign St?e
Estimated co4ca() 00C) Date of erection 7T I_� S
Name of Erector cuss C_e'i��r.0 (_
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Address
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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.
Sig ure of Appl' t Signatu_h of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED �-APPROVED
Reason for rejection /C-
Issued to
Fee Computation
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Date
Date 4�- '�;
Code Officer
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John P. Hayes
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