HomeMy WebLinkAboutPermit Permanent Sign SN-94-53A - CHITTENDEN SOLID WASTEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
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Date � 7 4 19 � Permit Number
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Applicant 4� 14 .LL 7_ .
N o ._-y '
Towri or `-0ity' `" / " " v 3tAt-iff Phone No.
Location of sign
Nalyd iif bugiriess`- ' '- No 'Scree
Square footage of sign _� Height of Sign
Estimated cost � Date of erection (
Name of Erector
Town or City
Consent of Owner:
Address
State Phone No.
The above named person is duly authorized to make
appli ation on my behalf. I believe the statements contained
here', are rue to the best of my kVedge.
S i'gSiafu o pplicant Si u caner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED ROVED Date
Reason for rejection
Issued to
Fee Computation Code Officer
Date c. 19
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