HomeMy WebLinkAboutPermit Permanent Sign SN-95-10A - ADD-ONOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date /%%/�i�c!y Z 19 �� Permit Number �s.-� f/0
19-
Applicant ,��'�/y /s%��/ / �/��1 Zdzc"
7-WIO 6/6-ei2k z2z2ZVL,6i
No. Street
I/T
Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign �4i Height of Sign
Estimated cost ���d �� Date of erection
Name of Erector
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
herein are true to the best of my knowledge.
Signatur Applicant ignatur o f caner
DO NOT WRITE BELOW TH LINE
Application: REJECTED
Reason for rejection
Issued to
LAPPROVEID).Date s
W
Fee Computation Code Officer
Date S �, 19
15
No Text