HomeMy WebLinkAboutPermit Permanent Sign SN-91-869 - INTERNATIONAL DIET SYSTEMSSIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date :kv— 3/
Applicant
Office Copy
19 Permit Number 6
No. Street
Town or City
Location of sign
l �3g
Name of business o. Street
??
Square footage of sign Height of Sign a /0�
Estimated cost Date of erection ? %
Name of Erector//V
Town or City
Consent of Owner:
State Phone No.
Address
ate Phone No.
The above named person is duly authorized to make
application on my, behalf. I believe the statements contained
herein a true to th best of my knowledg
ignature of App scant ".Signa a of Ow r
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Issued to ��� c,"
� Fee Computation Code Officer
Date l 3/ 19
Date W///
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