HomeMy WebLinkAboutPermit Permanent Sign SN-91-872 - VT COLOR/FOTO FLASHOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON. VERMONT
Date 19 L Permit Number ��- �4
Applicant ��Q�w.e.ti� Cc�`ezt— L C'A0G
sib
No. Street
St' �-�\ -�- �) v"42' q-� 'Kb6�,-4-'8 f
Town or City State Phone No.
Location of sign ��eS ��C' C��c9,�- I ira�o '� S'�. d W LL
Name of business No. Street
Square footage of sign Q A Height of Sign �r
Estimated cost
Name of Erector
Date of erection
Address
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. _
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date v `�
Reason for rejection J!y`
Issued to Zi�/ Z% -
Fee Computation
Date
Code Officer
19'