HomeMy WebLinkAboutPermit Permanent Sign SN-95-11 - ADD-ONOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 7 19 Permit Number
Applicant �}�0���/1/ o6;'1'571eL5L�//!ft Ziff11
-
No. Street
SO. '66116Gl/?/frMAK . 1/?--. D.- �� ,3;
Town or City �^ State Phone No.
Location of sign S�/=
Name of business No. Street
Square footage of sign `TC Height of Sign /S FEET
Estimated cost Date of erection 057,
Name of Erector 5f �a� S141'41-
Address
Town or City State v 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 tr �t,,.. a best of my knowl dge.
Signatur� Applicant Signature wner
DO NOT WRITE BELOW THIS` INE
Application: REJECTED PPROV Date ��7 - 7-
Reason for rejection
Issued to
Fee Computation Code Officer
Date U 19 �J