Sign Permit TOWN OF DARTMOUTH
Office of Building Insepctor6
APPLICATION FOR PERMIT TO PLACE AND MAINTAIN SIGN
OR OTHER STRUCTURE* INTO OR OVER A PUBLIC WAY
Date 00w,js-w I /9 &9
Name of Applicant: �ati yt garA
Home Address of Applicant: scoot /jC�\J).Q r
- LOU � (I, ,
�
Address Where Permit is to Apply: Stet c Q,k J 9 241.
cla 0: .a1
Material of Which Object is Made: W e-ak
Dimension of Object: -a_ ' 113
Distance to Extend Outward over Public Way
from Property or Street Line: sterns
Height of Object Above Sidewalk or Street: i;, > . y� A,;.
If a Sign, What Inscription Thereon? � A1An}'l
Describe Method of Fastening Object in Detail: 7 _P� t as
IA-4
Draw Diagram on Reverse Side Hereof, Showing Details of Construction:
Fee: $1.00
*Includes Advertising device, clock, marquee, permanent awning or
other like structure.