HomeMy WebLinkAboutPermit Permanent Sign SN-92-887 - DECLAIRE TILEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON. VERMONT
Date /L�C 19 "/% Permit Number /
Applicant 0"
No. Street
Town or City State Phone No.
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Name of business
Square footage of sign Zy%
Estimat`: cost
No. Street
Height of Sign
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Name of Erector
Address
Town or City State Phone No.
Consent of Owner:
The above named person .is duly authorized to make
application on my behalf. I believe the statements contained
herein are true to the best of my knowledge.
Signature of'Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED ` APPROVED Date
Reason for rejection
Issued to
Fee Computation '_%� Code Officer
Date 19 /
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