HomeMy WebLinkAboutPermit Permanent Sign SN-92-924 - BOURNE'S SERVICEOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date �Q // 19 -Z-- Permit Number 7a '
Applicant A�, if L—T/'7 Ctj l.Lf�7V_"�
No. Street
Sv.
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Town or City State Phone No.
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Location of sign X-7e"--Ce
Name of business No. Street
Square footage of sign Height of Sign
Estimated cost Date of erection
Name of Erector
Town or City
Consent of Owner:
Address
State Phone No.
The above named person is duly
application on my behalf. I believe the
herein are true to the best of my knowledge.
'Signature of Applicant Signature of Owner
auttkorized to make
statements contained
DO NOT WRITE BELOW THIS LINE
Application: REJECTED /A PROW Dat�/ '��/
Reason for rejection
<.�.��
Issued to
Fee Computation L) Code Offic
Date fy/(
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199 � --
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