HomeMy WebLinkAboutPermit Permanent Sign SH-94-33 - BLOCKBUSTEROff ice ' Copy
CITY OF SOUTH BURLING`ON. VERMONT
SIGN APPLICATION.
Date iL) 1 �9-
Applicant
No. Street
S,
Town or C
State
Permit Number/
No.
a
Location of sign 01 o c A 0 US /.P4t1-1 j7pn 5- %(o �A 9 ( b u/ZN k fl'd
Name of business ' Le% G1-K No. Street
Fem-cootl�
Square footage of sign Height' of sign {Z
Estimated cost 100006 Date of erection du
Name of Erector
Address
. s. /3L .
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 oontained herein are true to the best of
my k e
SRfnare—of Applicaton v Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED AP� Date
Reason for rejection
Issued to ril/�s�✓�/ �' %,�2�
Feel Computation �� Code Officer "e
Date z
12' BV50-SF
FLEXIBLE FACE
3M BBV YELLOW COPY, LINES, AND
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AE-90 EXT. ALUM. FILLER W/
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PTM #1090 YELLOW
22 GAUGE 5HT. METAL BACK
HINGE FACE FOR 5ERVICE
END VIEW
(1) REQ'D.
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(3) 256-484-10013ALLA515 Ca 1.35 AMP5
11.85 TOTAL AMPS
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2" X2" X 3/16" ANGLE IRON CONT.
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