HomeMy WebLinkAboutPermit Permanent Sign SN-92-919 - STINGRAYOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date '1 - 19 qL Permit Number �19
Applicant AQ161t-, �1V��II�L1 �J�1idg�
No. Street
7-S(jQKU N zI b N .
Town or City 4 State Phone No.
Location of sign 'St IX)(,%S35 5NF LQ QANZ-R0
Name of business No. Street
>, / /
jj
Square footage of sign Zo Height of Sign i�
Estimated cost '-bo ! 5oD Date of erection 9 " H ` 1 ,
Name of Erector OTT5: k Aw,,j %,N1
Address
Town 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
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_
Issued to
APPROVED
Date
Fee Computation ` '� Code Officer
Date / �� 19 T �--
%ZJ �'Xl CAN
CXA
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