HomeMy WebLinkAboutPermit Permanent Sign SN-92-899 - BAMBINOSOfffee Copy
CITY OF SOME BURLINGIM. VERMONr
SIGN APPLICATION
Da to - _ 19
Applicant 77ZZ3 'A_ .57 L4
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Town or
Location of sign
Street
V
M
city State
d
Permit Number��` ����`
4-619 4? 7A
Phone No.
No. Street
Square footage of sign Lx,L Height` of sign J ''
Estimated oast J Z C ,C" Date of erection
Name of Erector +� fly_ x ,t, %4
Address
Ton 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.
L CIA
lg e of Aoplicaton Signature of Owner
DO NOT WRITE BELOW THIS LINE
Appl i ca t ion : RFJELVM //APPRWM Date
Reason for rejection
Issued to
1pee1 Ccmputationv Code Officer
Date 195
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