HomeMy WebLinkAboutPermit Permanent Sign SN-93-960 - BLUE CROSSOff ice-' Copy
CITY OF SOUTH BURLINGMN, VERMONT
SIGN APPLICATION
Date G 19 Permit Number ! Y
Applicant 7�j /iU 57,47E S / U..7l
Ab. Street
�7- SZ, 2 -7Z
Town or City State Phone No.
Location of sign BZwQ eKw+ Uu.t Aioi� W/��l�%a,•
Name of business No. Street
Square footage of sign ) Height' of sign J 3"
Estimated costDate of erection
Name of Erector `SA-, _ ,g� �, tj
Address
Town or City State Phone No.
Consent of Owner:
The above maned person is duly authorized to make application on my
behalf. I believe the statements contained herein are true to the best of
my knowledge.
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Sig re of Applicator V Signature of Owner
DO NOT WRITE BELOW THIS LINE
Appl ica t ion : REJECTED APPROVED Da to
_Reason _ -for reject ion /%% .�—rY► -�—�_ Gt/?� �-C GcJ ��
Issued to�G�—�-�--
jFee-� Caaputation Code Of f icer
Date ��� 19�
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3/16 S��?-
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