HomeMy WebLinkAboutPermit Permanent Sign SH-94-09 - VERMONT NATIONAL BANKOf f ee" Copy
CITY OF SOUM BURLING", VERMON r
SIGN APPLICATION
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Applicant ✓ern�dr� IVG\.rr[1t�.�
No. Street
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Torn or City State
Location of sign Vic -Maw N ci rnn
Name of business
Permit Number
No. Street
Square footage of sign Height' of sign -5e cA4
Estimated cost Date of erection
Name of Erector
Address
or City
Consent of Owner:
State
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 knowledge.
Signature of Applicator
Signature of Owner
DO NOT WRITE BELOW THIS LINE
Appl ica t ion : REJECTED APPROVED Date
Reason for rejection--�
Issued to C�y[
JFee- Computation Code Officer v ��
Date -% 19
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