HomeMy WebLinkAboutPermit Permanent Sign SN-93-977 - ACTION TRUCKOffice Copy
Applicant
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Permit Number
eet
?3 r1;�
Town or City State Phone No.
Location of sign 51
Name of business / No. Street r
friz s-
Square footage of sign Height of Sign r
Estimated cost Zae DD Date of erection LY�h
Name of �l�l/ii��`7IC11
Address
Town . .
Consent of Owner:
The above named person is duly authorized to make
application on my behalf. I believe the statements contained
herein are true to th ,best of my knowledge.
9i4a:ture'/Xf Ap licant Sig ature of Own r
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reason for rejectio
i
Issued to
Fee Computation � i Code Officer �
f
Date ��19
iy)c 7''�