HomeMy WebLinkAboutPermit Permanent Sign SN-92-900 - P J'S AUTO"I Z I Of f iee Copy
CITY OF SOUTH BURLING"r VEW4CW
SIGN APPLICATION
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Date G9' 8 1Permit Number
Applicant --'rc L,
Ph -
No. Street
or City State Phone No.
Location of sign
Square footage of sign -3, Height' of sign ,m
Estimated cost pate of erection
Name of Erector / A. J% ':e t
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 herein are true to the best of
my knowledge.
Sig re/of App icaton
Signature of Owner
DO NOT WRITE BEU M THIS LINE
Application: RFOB= /APPROVED Date
Reason for rejection
Issued toG�'-�
Fee-- Computation• -!5'0° Code Officer
Date L3 19 f g