HomeMy WebLinkAboutPermit Permanent Sign SH-94-04 - INACOMOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date I_.%? ; � 19 r�7 Permit Number
Applicant tie, >
No. Street
Town or City
Location of sign
Name of business
Square footage of sign
Jr
Estimated cost! ��✓�
Name of Erector
Town or City
Consent f Owner i%i��l��%%�i
Date of
'} i J [ L L /
State W Phone No.
No. Street
Height of Sign ' l
erection 22! %- �f �V
ess
Stat
T6� erg k //,/ Ja,1,
-A The above named person is duly
application on my behalf. I believe the
herein are tru t 'the best of my knowledge,
iJ
Signature of`Applieant Signature of Owner
authorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED PRO Date
Reason for rejection
Issued to
Fee Computation_ Code Officer
Date % �� 19
'!/ .�-
�R�SNN
S[GNS
E
Wayne & Ruby Gibson
29 Myers Ct, So. Burlington, VT 05403 • (802) 864-4791
Information Systems
Computers v Networks . Service