Authorization to Install signage AUTHORIZATION TO INSTALL SIGNAGE
I/WE GIVE PERMISSION TO SIGN THE BUILDING PERMIT
APPLICATION AS MY AGENT,
AND TO FURNISH AND/OR INSTALL SIGN(S)
AT: .LAzA
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S GNATURE OF OWNER/OW R R SENATIVE
NAME:
*SI NATURE*
NAME:
*PLEASE PRINT*
TITLE: —1 LA <)gTD(-PSDyt b-Ji a-Q
TELEPHONE:
DATE: liq �aoa5
COMPANY NAME:
STREET ADDRESS: GG��
CITY,STATE,ZIP CODE: V
COST OF WORK: $