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Permit Permanent Sign SN-94-20 - ROCKY'S NY PIZZA
Office Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date L4 ?-` 19 ` 141 t Applicant 0 Permit Number o s No. Street Vim° Town or City State Phone No. Location of sign %A1-Q 1Of D - -ST• W h Name of business No. Street Square footage of sign '- �- Height of Sign 3 Estimated cost A-Z-oo Date of erection Name of Erector �C`� l ©sr — 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 nowledge. Signature of Applicant Signature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED APPROV Date �L _ Reason for rejection Issued to��'� Fee Computation t-05� Code Officer Date /-� 19 C-T4\ L.