HomeMy WebLinkAboutPermit Permanent Sign SH-94-09A - SHELBURNE RD GULFOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON. VERMONT
Date 19 9 Permit Number
Applicant iG r�,cs C z c c�1r.w�✓ ,5�. j1n<1�c,r..t �a. 1 �„��
No. Street .1
Town or City State Phone No.
Location of sign tc-- � (,A�
sj1,�) , Name of business No. Street
G�
Square footage of sign Height of Sign -,6,Nffi ?,,6 T,?E,&CN_yT
Estimated cost :?).s Date of erection *A. v 2 I %g ati
Name of Erector wc. 5 C-C-.'
Address
Sd ,
Town or City State Phone No.
Consent of Owner:
IN The above named person is duly authorized to make
applicati n on my behalf. I believe the statements contained
herein ar true to the best of my knowled'e.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED-- Date�� c
Reason for rejection
Issued to/ '7G' "
Fee Computation / Code Officer v� �l�E�-c�.C•�--�11*- =-�
Date 1��/ 19
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