HomeMy WebLinkAboutPermit Permanent Sign SN-94-16 - JOS A BANK CLOTHIERSOffice Copy
CITY OF SOUTH BURLINGDON, VERMONT
SIGN APPLICATION
Da to 1 ,w ; 19 q
Applicant
Permit Number
V1%9hDA-_�-CN.J.�
No. Street
Town or City State
S,
M
Location of sign
Name of business No. Street
Square footage of sign Height' of sign
Estimated cost` ` Date of erection
Name of Erector Y ,
ct
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.
L --( - �"
1� -
l
Si ure of Applicaton
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED Date
Reason for rejection
Issued to
ree- Canputation Code Officer
Date 19
r^A kt)1/) /04-U/b I
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07:47 04,,07/194
SIGN CONCEPTS GROUP INC
617, 784 0761
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