HomeMy WebLinkAboutPermit Permanent Sign SN-93-946 - GREAT NORTHERN STEROSIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date— 19
Applicant ( rV
No.
Street
M
Office Copy
Permit Number
5L) g, /� ti�� 4 4 66
Town or City State Phone No.
Name of business No. Street
Square footage of sign %%! Height of Sign j
Estimated cost ` Date of erection
Name of Erector
- ') /' O U r
Town or City
Consent of Owner:
it R10,
710 Address
State
6; �1- %;;?-
Phone No.
The above named person .is duly authorized to make
applica ion on my behalf. I believe the statements contained
VhereiLnkre tr to the best of my knowledge.
of Appli �� Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reason for rejection /t6
Issued to
/V
Fee Computation Code Officer
Date - q_ 1 19
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