HomeMy WebLinkAboutPermit Permanent Sign SN-94-09 - VERMONT NAT. BANKOffice Copy
CITY OF SOUTH BURLINGION, VEST
SIGN APPLICATION .
Da to , 19-?�t
Applicant
No. Street
State
Location of sign
Permit Number #-
3G� � Qakc�n�ttJ�.
•�r•v yr rrrr r• •.vv ay. ✓ 4..L .•\.. b.
Square footage of sign � Se �,�� h Height' of sign
Estimated cost j*qW Date of erection W �
Name of Erector
39
Address
Q \ y�
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.
Signature of Appliibaaton
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJE= Date 1 ✓
Reason for rejection
Issued to
I _
iFee= C=putation %5 Code Officer
Date 19