HomeMy WebLinkAboutPermit Permanent Sign SN-92-882 - MERRILL THEATREOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date f� / �.i 19 a Permit Number cX a
A p p l i c a n t
/ , Q _ _ i rtL,ZAA) jeL
No. Street
Town or City State Phone No.
T �r'F'.- '_ €-44qLA-- 'f
Name of business No. Street
f
Square footage of sign 2 Height of Sign /cs
Estimated cost //
d.2(�011 Date of erection /�/_T2�
Name of Erector - U-m Lla4
A)idress
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 sta ements contained
ein are true to t best of my knosilqdge.,
Signature of Appl' ant n ure wner C/
DO NOT WRITE BELOW THIS INE
(��P-PROV
Application: REJECTED ED ,, Date
Reason for rejection
Issued to
' Fee Computation Code Officer
Date /��� 19 y I'