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HomeMy WebLinkAboutPermit Permanent Sign SH-94-30 - OPTIONAL EXTRASOffice Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date :5-L1_ajE—� 3��_ 19 a, L4. Permit Number Applicant 0 I I C,f\1A L 1----\'Af5 Itl VIVIENN 6UL.IGk No. Street �C)uTH 3(i1,)LJK16 T 0/\J VT C�?-b S' a o� Town or City State Phone No. Location of sign C-P-r)O A L- n) ,-A t'� Name of bus ne s No. Street Aidsry,J z� ,tea X laN Square footage of sign Height of Sign Estimated cost Date of erection 14 dctCj I. pm Gtn(AZval Name of Erector O?-fIONflL UTkAt) INC 5-) SA- J memo Address Go Town or City State Phone No. Consent of Owner: The above named person is duly authorized to make applicat' p on y behalf. I belie a th ' statements contained herei r to e best of my,,; owl dg Signature of Applicant Si nature of Owner 6�i�cd �IrIC DO NOT WRITE BELOW THIS LINE Application: REJECTED APPROVED --) Date G �T Reason for rejection Zx Issued to Fee Computation -.I/O Code Officer Date! 19_ No Text NO. 316. '2 01VISION5 PER !NCH 130TH WAYS. 04 BY 120 OIVISIONS. CODEX BOOK COMPANY, INC. HOPWOOD, MASSACHUSETTS O moo= Inmmi 0