HomeMy WebLinkAboutPermit Permanent Sign SN-93-950 - CITY STEREOOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date%'% G� 19 3 Permit Number
Applicant
No. Stre
<l�J �7 ✓ilL�ii
Town or City
Location of sign
N
of business
State
No.
Phone No.
treet
Square footage of sign Height of Sign
Estimated cost "/"z _ Date of erection
Name of Erector ✓ �v
Address
VZ-
o� or City State Phone No.
Consent of Owner:
The above named person is duly authorized to make
ap %ication on my behalf. I believe the statements contained
e e n are true to the best of my kn wledge.
Signature of App icant Si nature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejectio
Issued to X-kR-� /
Fee Computation '� V� Code Officer
Date `� 19 j
I
Date
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