HomeMy WebLinkAboutPermit Permanent Sign SN-92-908 - ADIRONDACK FIELDSTONEDate tJ✓(oe
Applicant
No.
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
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19,/���
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Town or City
Street
Office Copy
Permit Number �Z
6/ 7-
State
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Name of business No. Street
Square footage of sign A Height of Sign U
Estimated cost O a
S • Date of erection
Name of Erector /-9JC� G`4--
Address
i-own 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
ahe7 a Jtrue to the best of my knowledge.
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Signature of Applicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED C APPROVED Date
Reason for rejection �-
Issued to
Fee Computation U Code Officer i
Date � 19
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STILES A /40 1-IISI-1-1[/A7T ti5
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