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HomeMy WebLinkAboutPermit Permanent Sign SN-95-17 - LIBERTY MUTUALOffice Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date ,t`%fi�� 19 Permit Number / l Applicant S!%�w �.r C/�b�!/i �'' % AZI 1 J 'Jeel h f�fLy 6/ No. Street Town oV City Y State Phone No. Location of sign �. ,`% / /0, ww// Yu,11yil� Name of business No. Street Square footage of sign u!rr r Height of Sign •'r Estimated cost A Date of erection Name of Erector <`; F' '' "' v <- 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 he ein are true to the best of my knowledge. / •i ny __ Si#ature of Aliplicant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED CPPROV Date Reason for rejection Issued to to ✓`� -� �' ` Fee Computation �G-' Code Officer Y Date 6T:�n u4khwef � SWVA,YlXe /&. S� D „ YO /r 1Z � 2-1 V m C gym,- � D m � m a DR Z / 4�/ I CLIENT/NvE ��? J C dl�,P dt-r- V60/1, mi SCALE This plan and all arrangements shown on it are the sole property of Design Signs. Any form of reproduction of this plan in whole or in part is prohibited. This plan is not to be used for the construction of DATE any design without first obtaining written permission from Design y- _5- - ? F Signs. CO � w - r_ uP m Z CO CO 0 r) " =rr, C r o�M4 L.n7-1 lI Vl 0