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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. <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 <br />proposed 'sign and its location are all in full compliance with all laws and ordi- <br />nances applicable thereto. <br />Town -Mi'\ (0tr0n Section ZL �/• �/4 N Vli S <br />Lot Block Subdivision <br />Land owner <br />r oL& 0 <br />-7Z2- S*-v6W PS <br />_lel cJi-,4 i/2 VOTS"3 7 o <br />Zoning district C _Z <br />Type of sign� jz:::1 <br />Dimensions SZ x ILt <br />Square feet . to Z In h Cost DOO <br />Copy <br />.I rlo. <br />1 / <br />I in <br />WJUAAA <br />A pl' <br />� l.J <br />Si <br />Permit issued Z <br />Zoning Supervisor <br />545-111(2/98) <br />Sign owner <br />.Sign to be installed by <br />s4vb-bigle4 <br />iris <br />w. =d <br />i... <br />Inspection <br />Date By <br />