HomeMy WebLinkAboutPermit Permanent Sign SN-94-32A - DORSET ST. BEVERAGEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date C— 16 19 Permit Number
Applicant
No. Street
Town or City State Phone No.
Location of sign J--
Name of business No. Street
Square footage of sign Height of Sign 102 /
Estimated cost Date of erection
Name of Erector
Address
Town or City State Phone No.
Consent of Owner:
T above named person is duly authorized to make
app cat'on on my behalf. I believe the statements contained
he e' rue to,,the best of my knowledge.
Sig£iatMre -a�f- plicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date 1
Reason for rejection
✓'�-
Issued to '
Fee Computation
Date
Code Officer.. "-"r�
19 �7K
7'
5'
4'
21
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