HomeMy WebLinkAboutPermit Permanent Sign SN-92-923 - LIBERTY MUTUALOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date ��� 19 Permit Number
Applicant
i3So She-1 born f- (�cQ 4 Zoo
No. Street
S^oC)+h is ra 0, Y,c, V7— ''G63-13011�1
Town or City State Phone No.
5�,�1 b��-� e S �- .sue SAe-1,bu� Location of sign 9'Ug �. � .3 "C
NaTr, of business
Square footage of sign 2,0 - Height
Estimated cost 1140 00 Date of erection
Name of Erector e S S, ' `J S
No. Street
of Sign I/7
® Address
.Town or City State Phone No.
Consent of Owner:
e-o q4
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 know,4ZI Z
Signat re of Applicant S: gna ure of w-er i"Vlai K r- T�ber, u J -
DO NOT WRITE BELOW THIS LINE
Application: REJECTED
Reason for rejection
APPROVED Date!_
Issued to
Fee Computation �� Code Officer--�.'
) Date %li 3�19 f �/