HomeMy WebLinkAboutPermit Permanent Sign SN-95-22 - ANYTHING PASTABLEA
Office Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date _�/� 19 Permit Number "07
Applicant
No.
Street
Town or City State Phone No.
Location of sign�'1
Name of hifsiness No. Street
Square footage of sign Z1, Height of Sign
Estimated cost , o2dd . M Date of erection
Name of Erector v`�-e a�s' c��co,• �-T�
Address
Town or City State
Consent of Owner:
Phone No.
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 know dge.
Signature of Applicant Signa ur of Owner
DO NOT WRITE BELOW THIS LINE
�
Application: REJECTED f�APPROVED Date
Reason for rejection
/2�r
Issued to
Fee Computation Code Officer-4 ,v
% i
Date /�� 19
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