HomeMy WebLinkAboutPermit Permanent Sign SN-92-898 - WHIPPLETREEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19 1 �` Permit Number
Applicant
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No. Street
Town or City State Phone No.
Name of business No. Street
Square footage of sign Height of Sign
c'
Estimated cost G �"' Date of erection p
Name of Erector
Town or City State Phone No.
Consent of Owner:
The above named person .is duly authorized to make
applicatiog on my behalf. I believe th statem nts contained
herein re true the best of my knowledg _ ...__-_...
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Signature of A pl cant Signa re of Ow er
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Issued to
APPROVED-,-) Date 7'
Fee Computation " Code Officer
Date 19
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