HomeMy WebLinkAboutPermit Permanent Sign SN-91-875 - DORSET ST BEVERAGEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON. VERMONT
Permit Number
Applicant
3,6 C/ Orr C' �7- J L
No. Street
Town or City 7 State Phone No.
Location of sign
�6.f - d'o s�
�,^�"cT � f� , �,�
Name of business No. Street
Square footage of sign „?y Height of Sign
Estimated cost ^ Date of erection
Name of Erector
Address
Town or City State Phone No.
Consent of Owner:
The above named person .is duly authorized to make
appl ion on my behalf. I believe the statements contained
her,
in_. true to the best of my knowledge.
gnatur o plicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
�
APPROVED_Date
Issued to
/00
Fee Computation Code Officer
Date 7 k 19 ��