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Dane County Planning & Development <br /> it.,i <br /> '+`�sCO ra6 -c b Zonin Division <br /> Building Numbering System <br /> Address Supplies Order Form <br /> Name S��► ' 013 <br /> Mailing Address <br /> Post Office and Zip Code <br /> Property address number and road name for replacement placard: <br /> a Q c s i /-4 �.T . <br /> Please Deliver to: Mailing Address Property Address °/ Other <br /> If other, please describe: r M I(-- <br /> (Address supplies cannot be delivered outside of Dane County, if you would like to have your supplies shipped please contact us <br /> directly) <br /> ADDRESSING SUPPLIES Quantity COST Total <br /> Placard,numbers,hardware @ $15.00 each $ 5' <br /> Post @ $10.00 each $ <br /> Address assignment @ $15.00 each $ <br /> Replacement Number(s)(indicate numbers below) @ $1.00 each $ <br /> Checks Payable to:Dane County Zoning <br /> Total $ ] <br /> Mk <br /> Adddiitii3onnal Instruction <br /> 210 Martin Luther King Jr.Blvd.•City-County Bldg,Room 116•:•Madison,WI 53703-3342•Phone:608.266.4266•Fax:608.267.1540 <br />