HomeMy WebLinkAboutPermit Permanent Sign SN-94-33 - BLOCKBUSTEROffice Copy
CITY OF SOUTH BURLINGPON, VERMONr
SIGN APPLICATION
Date J I �� 19�
Applicant
5, B L) rz L - V 7--
Town or City State
Permit Number
Location of sign � 16 C_(i 6 usTif L/ -)en s-16 S! e I 4Aj k Ri
Name of business - Le T- GTK No. Street
FORH.41/� r-ti,o/tee v�
Square footage of sign 9( Height of sign /Z�
Estimated cost /O Do 6 Date of erection J v I
Name of Erector (� /, ,I, ,s ZA % S c A-L5
3 1-7 PA1—�. e,-) ,-�
Address
S.
Town or Ci
Consent of Owner:
/3 4-- L .
ty
state
1�
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 k e
SRfhaure—of Applicaton v Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVEDDate
Reason for rejection
Issued to
ree3 Computation /Q_°r Code OfficerDate 7 Z 19y