HomeMy WebLinkAboutPermit Permanent Sign SN-95-16 - APPLIED GRAPHICSApplicant's Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
AI
Date 19 �� Permit Number
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Applicant
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No. `Street
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Town or City State Phone No.
Location of sign 14,/V4�"' �l �/`��'�� 7�'
Name of business No. Street
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Square footage of sign -qV Height of Sign
Estimated cost
Name of Erector J�
Town or City
Consent of Owner:
Date of erection
Address
State
The above named person is duly
application on my behalf. I believe the
herein are true to the best of my knowledge
ignature of Applicant Signature of Owner
Phone No.
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reason for rejection
Issued to
Fee Computation /G, Code Officer
Date 19/
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