HomeMy WebLinkAboutPermit Permanent Sign SN-92-905 - SIMON'S CONVENIENCEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date /Y/A y �'7 19/ Permit Number
Applicant V L-,4M IN HAkI D'-,
7,57
No. Street
0J/2L ry/u �rre pcp r d J i-W3,9
Town or City State Phone No.
:. u ,,.. ,.: . — A% fi_9iy_s APiy�/E-11 FAer . *rl �f/ z
Name of business No. Street
Square footage of sign Height of Sign n
Estimated cost Date of erection
Name of Erector 404111AIOle 4N/3
Town or City
Consent of Owner:
Address
State Phone No.
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.
Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
Date 7
Issued to
�O
Fee Computatiol"J^ Code Officer_9
Date
,le G, iL
�ALUMINVM FAua
C-e
Cr UETraF
F Ac t o �_.
l F nt�'r NG.4 'J
-��7 -.
411 F�,QICtiL UCtJi-Eq ov�i2 gt,
Wl WAL4 TIMt
T=n �ACNALV 24" 0 N E Ni�l A
tt—
f JIL
Tc E pt? C _
F1N.la0rt
_
8-0 Q.�
0;
s.
FvoTA raG
u A P"
5CA L L- 3/1bt=t►-� _
rzo� , �o, tL)tzL►� u � Vi',(
5l5g 2