HomeMy WebLinkAboutPermit Permanent Sign SN-92-890 - ONCE WORNOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON. VERMONT
Date f
'� �� � 19.`�-� Permit Number
Aopl icant
-3460
No. Street
Town or City State Phone No.
Location of sign k3�G eq `""�/-s '—V
Name of business No. Street
Square footage of sign �` Height of Sign
Estimated cost Date of erection
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
he ein74e true to the best of my knowledge.
FSi nature of A ppli ant Signature of Owner
J
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Issued to a'
APPROVED
Date
Fee Computation .`� Code Officer
Date r 19 /,-, Z—�
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