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HomeMy WebLinkAboutPermit Permanent Sign SN-92-936 - COLONIAL MARTOffice Copy SIGN APPLICATION CITY OF SOUTH BURLINGTON, VERMONT Date 1 C� 2 19 Permit Number Applicant 4A A,F'L 4a,; ► �� �1 3 S� No. Street .5&; .i?4)n_ L1 "I,_ r I/ -/-- Town or City State Phone No. Location of sign 0/6-V IkU'91,ZIT Name of business No. Street Square footage of sign Height of Sign Estimated cost �.5()() Date of erection Name of Erector LUG'_ .3 S V i), 2 , f <� Address Town or City State Phone No. Consent of Owner: The above named person is duly author zed to make application on my behalf. I believe the statements contained herein are true to the best of my knowledge. Signature of Applicant Wignature of Owner DO NOT WRITE BELOW THIS LINE Application: REJECTED APPROVE. Date Reason for rejection Issued to Fee Computation-� Code Officer Date /"9!Lam'