HomeMy WebLinkAboutPermit Permanent Sign SN-93-961 - DOMINO'S PIZZAOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date L.x - *'2--t -
19 � 3
Permit
Number .3
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Applicant
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No.
Street/
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Town or City
State
Phone No.
Location of sign
Name of business No. Street
Square footage of sign CO-C 'fir' (5� Height of Sign G �I %� /�"vrr►G'�""''�
Estimated cost -7C? 6 Date of erection
Name of Erector d^ ca Lem l u1 v*-
Address
Town or City State Phone No.
Consent of Owner:
A The above
application on
herein are true
named person is duly authorized to make
my behalf. I believe the statements contained
to the best of my `know dge .
y
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED // �PROVE Date l
Reason for rejection
Issued to
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Fee Computation
Date
Code Officer
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