HomeMy WebLinkAboutPermit Permanent Sign SN-93-968 - OMEGA AUTO SALESSIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19
Applicant
Office Copy
Permit Number Y3
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1 �, 5
No. Street
Town or City
Location of sign
Name of bu
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State
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Phone No.
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ess No. Street
Square footage of sign � 2 Height of Sign
Estimated cost 00 Date of erection —T Xd /
Name of Erector 16=� ,s /A/� 2 I?Ac I
5,
by � ' Address
Town or City State Phone No.
Consent of Owner:
s The above named person is duly authorized to make
ap ' ation on my behalf.; believe the statements contained
hg"re' ar t u the bes f my knowledge.
�Slg tur of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED PPROVED Date
Reason for rejection /) OfuL
Issued to
Fee Computation Code Officer
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Date % _ 19 '/✓
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