HomeMy WebLinkAboutPermit Permanent Sign SN-92-893 - GAGNON'S DAY SCHOOLSIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date a 19 Permit Number
Applicant
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No. Street
Town or City JState Phone No.
Location of sign CX-C,
Name of business No. Street
Square footage
f sign l Height of Sign
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Name of Erector
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n _Address
Tow4 or City i State
Consent of Owner:
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Phone No.
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.
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Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTEDAPPROVED-' Date
Reason for rejection _.
Issued to
Fee Computation Code Officer'"�-��k'_
Date �Z_ / 7 19 9 Z`
RR #2 BOX 60, JERICHO, VT 05465 899-2378
1201�� (DE (I
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GAGNON1
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DAYSCHOOL
A Pmlchool wd CareC ier
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Fast Service. Quality.