HomeMy WebLinkAboutPermit Permanent Sign SH-94-20 - ROCK'S NY PIZZAOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19 q
Applicant
Er"r
No. Street
Permit Number
7 "I Z`Z-CL -
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Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign -&' 7'5- Height of Sign 3•'�
Estimated cost -Az-C)o
Name of Erector
Date of erection
7 V-erwq (
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 nowledge.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED/ Date
Reason for rejection .(1�
Issued to
Fee Computation Code Officer
Date �� 19 !
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7 1
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