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Ey 1 isalsicr- , <br /> :„. <br /> APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. >})U) , ).) ' :.) <br /> The undersigned hereby applies for a permit to erect a sign as described below. I <br /> The undersigned declares that the statements made below are true and that the FEE si(p Lk,/ <br /> proposed 'sign and its location are all in full compliance with all laws and ordi- <br /> nances <br /> appllicable thereto. <br /> Town //M/J/)u ij 0 109 3'4of '1(t.>-// ; Section. 3 (0%, %4 /Uc ) ` w , <br /> Lot 2. Block Subdivision L),•h .. J ) / <br /> Land owner Sign owner <br /> L'IJC/I //U U,1,/Jc c: 72)11-. a2 1144,( t-cu)tei-- _. R <br /> `/) /Uu //k L ,e/J <br /> ,)//42/s0,-, (, <,)/ ; S 71 3 <br /> Zoning district Sign to be installed by 4- - <br /> Type of sign O''tJ • (),t'c/rI i )C: / IU. 1))ciai1 of a < <br /> Dimensions G / i' '/ X 4-1 , 1 ,, 260 7 P(r i ')1 <br /> Square feet �a' ' 6C1 Cost w/ �J 1 1(Ct/C_C-� !J rl_ C(,l <br /> Copy Location <br /> z <br /> 0 <br /> E. <br /> ,1 ) i <br /> i 4A / <br /> Road IvOIb lb.'I <br /> )CL- rl it/I( //( r) <br /> • <br /> -- . ..66-(4_1l_l . -- _.._ __ ..._ _. -_._... - . - .- <br /> Show location of this sign by "x". Show location of any adja- <br /> ;, Applicant cent signs by "o". Show distances from nearest intersection <br /> /) and adjacent signs. <br /> Signed <br /> Permit issued <J ' U vc Inspection <br /> 71'24..--// f/ Date By <br /> oning Supervisor <br /> 545-111(2/98) <br />