HomeMy WebLinkAboutPermit Permanent Sign SN-92-939 - SLEIGHBELLSOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date ( 1 O 19 ! a�
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Applicant
Permit Number
/ .0 - 9J '�F
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No. Street
Town or City State Phone No.
Location of sign
Name of Wsincs= , No. Street
Square footage of sign qt Height of Sign
Estimated cost �� 7 Date of erection
Name of Erector 5TOTe 5LEJi1
Addres
Town or City State Phone No.
Consent of Owner:
The 2above named person is duly authorized to make
application on my behalf. I believe the statements contained
here�n 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
zw- Gas
Issued to
Date l !Z � Z--'
Fee Computation Code Office -`�
Date
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