HomeMy WebLinkAboutPermit Permanent Sign SN-94-09 - SHELBURNE RD GULFOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date Aot-vm i k. 19
1 �
Applicant
l
No. Street
Permit Number
Town or City State Phone No.
Location of sign <-V,c.i6, .e. (L G..14 3 C.
fj% LL Sly,�� �,� y�Name of business No. Street
Square footage of sign 3 O Height of Sign �#qF NC �►�Ec tvT ��
Estimated cost -3�� OF Date of erection t-A" , ` n It
Name of Erector
5 �� .SLE "t72t%JE
Address
Town or City State Phone No.
Consent of Owner:
The above named person is duly authorized to make
applicati n on my behalf. I believe the statements contained
herein ar true to the best of my knowled e.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED (',, APPROVED Datet- l
Reason for rejection 4 < A--�
i
Issued to
Fee Computation Code Officer ,-L-�.•�-e-^-¢;�-- -�_ �-
Date \31Z/ 19/%�