HomeMy WebLinkAboutPermit Permanent Sign SN-92-904 - NORTH COUNTRY REST. SERVICES_<°6fee-
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19—
Applicant
Office Copy
Permit Number f l
Iry 7 To
No. Street
Town or City ./State Phone No.
Name of busine s No. Street Sd•�✓�
Square footage of sign � � Height of Sign
0/
Estimated cost ��e) Date of erection =�/Z 2-----
Name of Erector �k/V&Z_
.5'i Ids (Wo ✓jq--
Address
Town or City State Phone No.
Consent of Owner:
The above named person .is duly authorized to make
a plication on my behalf. I believe the statements contained
ere n are true o the best of my knowledge:
ignature of Applicant Signature o Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for
Issued to
APPROVED Date
�'5 1711 Z--
rejection
�-ev
Fee Computations Code Officer
Date �/7 19�7/'
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71-61
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