HomeMy WebLinkAboutPermit Permanent Sign SN-93-982 - VIDEO WORLDOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date —VP C_2•I►J��QI 19ell
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Applicant `� 1� 2ry WO r
Permit Number�'� y/
No. Street
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Town or City x State Phone No.
Location of sign � i J ,ram �- `� ( 3 w1 t
Name of business No. Street ,
Square footage of sign ��•� �-} Height of Sign
Estimated cost 00 Date of erection
Name of Erector A&244
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M-Al Address D
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Town or City I State Phone No.
Consent of Owner:
IN 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.
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Signature o Applicant
Signature of Owner p
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
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Issued to
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Date
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Fee Computatiofi �� ' Code Officer
Date '� `/ � 19
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