HomeMy WebLinkAboutPermit Permanent Sign SN-94-30 - OPTIONAL EXTRASOffice Copy
Date�li
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
3K_b 19 —9.-q-
Permit Number �,5/ —,? O
Applicant C)PTIONf1L- EXTFKAS WC- I VIVILNNE 6rULIGk
No. Street
Town or City State Phone No.
Location of sign 0-P7-)C NA L- F X TR Y^1 � c�,A �,,, R E-- M C) -biz
aiye of bus' No. Street
Square footage of sign—: '41C h�Cfio Height of Sign
Estimated cost Date of erection ) 4 dclus Gym opotZVal
Name of Erector OPTIONAL QXTRAt) INC
Address
So - -� u Ri- VT `bob - g Go �3
Town or City State Phone No.
Consent of Owner:
The above named person is duly authorized to make
applicat' on y behalf. I belie e` th statements contained
herei r t r
to a best of my owl. g
Signature of Applicant Siinature of Owner __-�/�r1C
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reasons for rejection
,o - ;L_e__ . *Z
Issued to
Fee Computation Code Officer
Date ` 19