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Sign Permit 10-054 - Health Source
'io 1t~/~4!201~ 1E1..~.~ ~624746W~ 3 r ~ (~ , on /j~~ ~~ P ~f _ ~p / y` ~ `~~ ~ ~` ~, P~G~ C~1 iY~.."-'~aAA-~~G ~~1~71z' ~~IEE ~7.~4Dd'tl ~Ar.F'AL7J.3 A C3Y~iaC"I'1(~1~I5: lfio bcrmp3~te~d applfcstiot- ilex si~~ ii; t~ resp~nsil~lc ~~T ~bteinl;ty a Ltsifciin~ ixf'fait JQttecossar,'. ~~ ~~ . Ptrmlt fi~o. ~-~Id ~Sf_7' . Applicant is ~-- t. P~,f~~'El i.D. ~ ty14tOF~~°}`~'i =~ ~ , ~7~ UC,~ ~f, !~ ~'~L~)q~:'~ _ ~4__ _ v, e~ yr a ~~ Mi 4 a"K''~ r r ~.. ~- - - ,.~f ~- ~~ ~~ ~ `~ f r~~ ~~= ~. S~~rls' ,~11~3~E3.~j~~ ~.~ji .P~~~~1M1~Sr~~u~1 ~ /' p/ ,q ~ / ~*~,,,,, ~~g~ r~ ~s('~ ~4~}~'I~I~I~+~ ~~d iJ vG ~3~-~e ~~, ~r• ~~ fit/ t~6/`'Ti 4C/ '~''° '~ ! s},~ 3. TY!'E OF' S1~+id: Y~J9~1P,Ir71V(xx D,4 ~'.44~J_X1tYiUM.R1SP'GAt~ ~1~A~ANErI r`6t` .fit{~tl~'F/iff'v&IVC~~F1~,s~1,~NDltJ~,j d191(6tkA•I~tr°s"Y1tr~e+a"4"~arebe~4dt~"d~t~,S't~•c.*et~r3iibrts"/6oere®waaniSljs~a! ~1S~q~+taRe Plr+'lte.5~,r~u° M li~r~ rvdpde~lare.5laur°On~~c4,r,tuDln~~eo~l S7,g+ai"P!v~carrrr~ id7nlvty a"~++°pr,rtabte Sdg~ReSxb~ri ~+an leer p2s~an ~'f~es 6. '~R~iP1 ~t?FgEhlSJlt'9Fd5 .,_.~._.._:,...,.. !~. ~ttiAUtK+ti+as~rat~f~p~_~.~..--_,.~._~.~_ (sya~~~C7'd~,Ye~!) (NZu~;t1 yWidtll~ ~h) T-----__. - - ---_--_.___~..„r---- ~..®..~.e.__~ 7. 7'Y>~E d7~ ~~ TliilUC~l~N~ .__.___~__._.._._av. S~~IY P~;~DI'~~ ~~a'3~~.'~f-'1` 1~E ~`Ri}~E~E03 )<~ "1'~X3~Y A~kE 11~~CU~i~°J,F'1'E.__ ~. ._~.~,.- i t~cn:b7 certify thtlll Strv~ 1VJela[t14a intbrtn~iac an th(s ee~pttradi:xi uili~ is, to dre best of my ttrwa~~6y~e, true •ta,i ~. ; dw certi' y dldt ! ~m shr. ovntWr t~ sutttvaxrd sgWtl tut thw aM~ve ;mcrtiru~ed p(vp~at}'. sand thsi slt evnetrue:~rn will cO,tkNr'il to Nt e~~.~tin(? stole afld loot faw Anv wil9 ~!r4".K'r~ in rcCera-thn: >wiiA suMmotted fllsrs. ! xzP, aw,ue tku th¢ Cf'ry P.iarr~ oars reva~ks this ,it itn' Jam' sma9a. P+1Nhcrmare. ! hcrxtry arse {f1~1 Ctt• ~ Of?5eials of a de;;{atcz ?hcr~vf Bury soft! upu+r ~:c prop<ray ~ dt:d tn,;pscx'a~s. 5fbh'ATiiH~' QF QftQPFf4TY C>l4'iW€~ U~~vBt~ (!EP ~~~I~PEE .~ Pi2IN"fEn ~ A;"~1E F d GREftI~' G~VI`tk°K A4R ~MitV15"t'"nAT7VE!)$~ y8?1Hl~3'1351C}lV RRQUIEtk?t~if`f~ITS scrlk Gvi+wing shvwing lcrcetion of Sign Plrtts;ald Sp4x;e ~ PerrnA Fce 3 _~~ (P nri t fee tt stt ~ tiinr uttt~tiVn ie~crrdin8 ~ +~P+~'~ xhedulcl ~ifia~ Appil,~tkin he~et your 5i~fl ~r~tpt w1eCln appraved. ~; `;' 4r eel ~u~~r ~r dda~g+~+e rata /(~ ~- /S =!O gAit ib t~ ec~tTit~' t~ the t'equt~r in dlr nbov~ $}plir~lie:n ~~ld ;s4adt-~ttyln~ at9anrn:f,e~ i5 ifl sccordanle ui111 ~e Cite 5 g:o ClydirisneC wld lnay Wm~3 us ityursted. T1tfs dt,CYtrtcut, xr!rrx+signed by Hce Cite i'lssos,:r of dE,~i~;ir•~ ooos4tutr's w,t~li§tix ;sgt?l it!e 5igp t)edinersae. t;1CiN FFkAd17 A1'PL3CATIfiN.vrps 9 V V ~± 3~ ; ~~~ ~__ t~.i ~7 ~ Y:; ~ '~ s ' ~/ ~ ~'\ ~.'' ~. f 1 ~,°~''~• a i