HomeMy WebLinkAboutPermit Permanent Sign SN-93-969A - VIDEO SHACKOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date �.� 0— S 19 1- Permit Number�� -Z414/17
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Applicant lJ TT/7C
/3Ql IIL IS 0dIl igo �
No. Street
SO 9 00� 1 1 7-0 Al V -T- .614 Q- 02�' 75'"
Town or City State Phone No.
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Location of sign I,� / bOj- S#ACA- 13c) J/,���%��STc.� rJ
Name of busines,% No. Street
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Square footage of sign /S /6 Height of Sign Estimated cost 1$ U 2,'A. Date of erection / -0? c7 ' /3
Name of Erector 0-TT ER C r' -e a
d ��x [Jo Exc tf AM
Address
I4� 1 t! 12 t BU ray 1/7- .3 ?'Llf -7310
Town or City State Phone No.
Consent of Owner:
s The above named person is duly authorized to make
application on my behalf. I believe the statements contained
herein are true to t of my knowledge. --�
-
e of Applicant igna a of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
�PPROVED
Dater/
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Issued to �/`>"�-P °e'e.c- � `�`-'<-'e
Fee Computation Code Officer=-�-�---
Date
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Vile
. .— :.lags .........4a•.i ' i,F.4V
THU 14122 OTTER CREEK AWN 2 MGS
\ Poa!-1!• brand tax transmittal memo 7�7� r�p,►�„s. -�
FOR
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utter Creek
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Since J9se
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CREEX C�. 80X 7OZ 110 LxcHANQ S E:U Awnings
A • Sign e
802-3�8�733009, Vf 05759 . Patio Furniture
FAX 802.388-9625 Flag3l tag Poles
Covers/Speclalty
CONTRACT
IROJECT Dalton slocic / Pomarimu Real lactate PRO. 0 AEC'D
,ONTACT NAME Ridmrd Dualmall DATEtest 30, 1993
1AILING ADDRESS 59 C0112gj St•.raGt W:
TELEPHONE H: 863-8210
Durlington, YP 05401PO 0
W III
VSTALLATION ADDRESS INSTALLATION DATE
(WEEK ENDING)
PRODUCT QUANT. SIZE' FABRIC I PRICE
Quarter Round alining
1
371-0"
x 3 I -01,
clor t tr
forest
Ent'rmmo Arch
1
8 I -011
X A r -011
wxt.Er Rautld =t en ion
1
41-0"
., 3' -0lt
„
RAPHICS
'EAMS:" .
% DEPOSIT TO INITIATE THE ORDER
% DUE
EASE NOTE: CELAY IN TWIS PAlrMENT WILL RL•SULT IN A DELAY All THE
TALLATION. YOU WILL REO$IVE AN INVOICE.
LANCE DUCE UPON INSTALLATION
COST BREAKDOWN:
PRODUCT(S)
GRAPHICS
OPTIONS
SUB -TOTAL
TAX
INSTALLATION
$ r
$
S
TOTAL $
NOTE: QUOTE VALID FOR 80 DAYS FROM ABOVE STATED DATE.
P RCHASER t DATE OTTER CREEK INDUSTRIES, INC. DATE
MATERIAL M GUARANTEED TO U AS SPECIFIEOL ALL WORK 18 TO BE COMIN099 IN A PROFESI,SIONAL MANNER ACCORDIN4 TO INDUSTRY 3TAN *ma ANY
AAMN OR DEWATION FROM TH8 ABOVE OR ATTACHED SPECIFICATIONS INVOLVINO WRA CO,RT8 WILL BE EXLUDED ONLY UPON WRITTEN ORDERS AND MILL
09COME AN A001TIONAL CHAROE OVER AND ABOVA THE ESTIMATE,
WNITIi - OFFICE CANARY- CUSTOMfiq PINK- BALFA AEPJW!WHrATtVV
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