HomeMy WebLinkAboutPermit Permanent Sign SH-94-32 - PIONEER TELEPHONEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date <<- b =(,&( �% 19
Applicant 61,14 60U&,1 -
No. Street
Town City
Location of sign
10C ell.'' e
Name of business
Permit Number 9 V ^�
State
Phone No.
No. Street
Square footage of sign ���� f�
q Height of Sign
Estimated cost % -7->— Date of erection M -c�
Name of Erector Cr7; ✓�-
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
here 'n are true to the best of my knowledge.
Signa ur o Ap licant Sign u e of Owner
,;
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection_
Issued to
Fee Computation Code Officers
Date/� 19�
Date 4�
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