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HomeMy WebLinkAboutPermit Permanent Sign SN-92-899 - BAMBINOSOfffee Copy CITY OF SOME BURLINGIM. VERMONr SIGN APPLICATION Da to - _ 19 Applicant 77ZZ3 'A_ .57 L4 ^J 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 RIPS TA se