HomeMy WebLinkAboutPermit Permanent Sign SN-95-21 - IRVINE SENSORSSIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
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Date /V� f 171 / 19 �f
Applicant Z)!Fj/4!<7i2/ rfldAl-j
Office Copy
Permit Number
No. Street
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Town or City State Phone No.
Name of business No. Street
1.
Square footage of sign Z �1' Height of Sign lei
Estimated cost �60, Date of erection
3
Name of Erector ; x?
Address
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
i herein are true to the best of my knowledge.
ign t�ure of ppli �nt Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED C APPROVFn Date C �S
Reason for rejection
Issued to 'C`�„`y,
Fee Computation! '
Code Officer
Date __ / 19 �_
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