HomeMy WebLinkAboutPermit Permanent Sign SN-92-903 - ASSOC. IN ORTHOPEDICS SURGERYOft,is-('. C01))•
Date
Applicant
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
No. Street
Permit Number
-
Town or City State Phone No.
Location of sign
Name of business No. Street
Square footage of sign 121 1U Height of Sign
Estimated cost &40, Date of erection 'y 7 �-
Name of Erector �/7C�'i' i� �f? GL�h�rrJ I
Addres
Town or eity State P one No.
Consent of Owner:
The above named person is duly authorized to make
application on my behalf. I believe the statements contained
he n are true to 14he b st of y knowledge.
Ld
Signature o Appli, ant Signature of Owner
DO N6T WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
,,,A-PPROVED Date`
Issued to
Fee ComputationCode Officeru/�iti.��''Gl��� _
Date ��% 19
ec
g01
,: ASSOCIATES
ORTHOPEDIC
SURGER"ll, P.C..
W4.
DVMCE PHYSICAL Tff-LMPY, PC.
NUCHEAL Cr DEE P.T.
0