HomeMy WebLinkAboutPermit Permanent Sign SH-94-07 - CARR INSURANCEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON VERMONT
;)ate - %(p 19 .- .L_J/
Permit Number
Applicant
No. Street
Town or City
A
LET
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Phone No.
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Name of business
No. Street
Square footage of sign '�sy.Ff, (3R,E r TAGS
---�— Height of Sign ti /CiPT
Estimated cost 4/00,00 Date of erection
State
Name of Erector (1r1Ai2G0S CAf2.0-
1159 WiLUSToO orb p
Address
Town or City State Phone No.
Consent of Owner:
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 knoledge.
Signature of Ali���S�igna�Lure of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED /� APPROVED Date
Reason for rejection A),I�
Issued to
Fee Computation Code Officer
Date 19
ILL
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