HomeMy WebLinkAboutPermit Permanent Sign SN-92-907 - STAPLES5 clopill
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date -IV - 19 L Permit Number
Applicant <
U \5N
No. Street
Town or City State Phone No.
Location of sign C'4
Name business No. Street
Square footage of sign° \ u ��`� Height of Sign3 1
\?-
1
Name of Erector
(caress
Town or City J 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. _
Signatur�c�f Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED Date
Reason for rejection
Issued to �-�✓�
el" ! b"0
Fee Computation % Code O f iceri�
Date �P C ; 19��