HomeMy WebLinkAboutPermit Permanent Sign SN-94-10 - ACT BUSINESS SERVICESOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date /► AM 121 19 Permit Number
Applicant l7C T ,% zl"rf'.Ct'
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No. Street
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Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign a U Height of Sign
Estimated cost Date of erection % f
Name of Erector
Address
Town or City State Phone No.
Consent of Owner:
4 The above named person is duly authorized to make
application on my behalf. I believe the statements contained
h�lr`in are %true to the best of my knowledge.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reason for rejection
Issued to
Fee Computation
Date
i
i
Code Officer
19
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