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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT N0. 5 tool•- tocil <br /> The undersigned hereby applies for a permit to erect a sign as described below. <br /> The undersigned declares that the statements made below are true and that the FEE 2p cv <br /> proposed sign and its location are all in full compliance with all laws and ordi- <br /> nances applicable thereto. <br /> Town SPtfrS&t- L,D Section t4-- 'A %4 (tilt■.: <br /> Lot 1 Block Subdivision <br /> Land owner Sign owner <br /> rCi iAC_D 4J l Pt'Ei CUZ-1- -1 AititS OU 7 OpIZ Ac>Vi TIS1N.i, <br /> Zoning district C. Z.- Sign to be installed by <br /> Type of sign F/kC To gAGV.:. ADAMS A,bJ62-1-1stac <br /> Dimensions �H — U% x 12- -G <br /> Square feet Z°I' '- g"-£Cost <br /> 502, - Copy <br /> Location <br /> i nE.S <br /> w <br /> VAZ. ,�5L_F C,�M <br /> Road <br /> Show location of this sign by "x". Show location of any adja- <br /> cent signs by "o". Show distances from nearest intersection <br /> Applicant and adjacent signs. <br /> vt2 0 <br /> Signed <br /> Permit issued 5 0$'ol Inspection <br /> t 4 Date By <br /> Zoning Supervisor <br /> 545-111(2/98) <br />