HomeMy WebLinkAboutPermit Permanent Sign SN-91-880 - ACURAoffice Copy
CITY OF SOM BURLING", VFRMNr
SIGN APPLICATION
Date �1 I I (� 19-a/ Permit Number
Applicant _ l i.�.� 11; S 1 /6r r F S( 6-Ad S , n
No. Street
fju
Town or Ci
Location of sign
to
,J
No.
Name of business No. Street
Square footage of sign t A 1 s Sr Height' of sign 1 t L 4,-_
Estimated cost Li Date of erection
Naof Erector � Nam 114.2 S EA ME
Address 4-
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 contained herein are true to the best of
'my knowledge.
Signatur ,o Applicaton Signatbre of Owner
DO NOT WRITE BELOW THIS LINE
Appl ica t ion : RFOEr= APPROVED Da to
Reason for rejection
Issued to
Fee- Computation r� Code Officer
Date /'�� 19
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i
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! r t � 77
ACL A4