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May, 31. 2018 9: 45AM No, 3352 . P. 1 <br /> 1�Y;i i,nrq•�r�0b•, <br /> $.. , . . T01H OF MAWS <br /> rsLi!'t <br /> APPLICATION <br /> Date Permit No. <br /> PLEASE PRINT LEGIBLY <br /> Name of Applicant: L4 6 f Telephone-_ <br /> ' � L <br /> Name of Event: � �lr br <br /> Date(s) of the Event:—alzfm Date to be Removed:, 1 <br /> Dimensions of Sign(s). length Width 24 HeightdL6 Area <br /> Number and Locations) of Sign(s): <br /> 1) 9 At a <br /> I declare ander rh&penaltles of perjury that the statements herein contained are true and correct to the best of my knowledge and <br /> belief. i hereby declare that I have read the requirements for the installation of a Temporary Sign and will abide by said regulations <br /> and will eernove said signis)by th 'me frame appy reby signed under the pains and penalties oflperjury. <br /> Applicant's Signature Date ` <br /> Town Manager Approval _ Date <br /> Board of Selectmen Review Date of Meeting: <br /> CIRCLE ONE <br /> APPROVED DISAPPROVED <br /> 1 <br /> i' <br /> Rev,8/2.5/16 <br />