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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. S9 a — £3Gcj, <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 /> .5/8 t DEER. PT: /20. <br /> Town /' v i r.A'3 D Section / 'A ''A 5L /¢ /`-)_ '/`f <br /> Lot 5 Block — Subdivision 5H 8 / i a Pa ✓c e / 4 0510 - O/ t - 9885 - 9 <br /> X Land owner /( Sign owner <br /> . sa k . A LI r-0 Co Lu S i o,3 0c � 1�x-�i <br /> ,�e v; it ,Doer-.- (ea e-8`7 3-7 G 4/ l�v©� •rim( 1 W, ' <br /> b -r 3 56c( <br /> Zoning district _ - Z a.e• ' 70 2,6' - Sign to be installed by <br /> A_Fro loamy Ia.,., s50-Ft 0 <br /> Type of sign D,1 - Prc° r-,-r ;S,4_, {may/0 ,4 Siq ,--t `JNH3 5;.. 'i5 ` Itic . / -E300 --,43 - <br /> 7993- <br /> Dimensions 8 ' 110 ' 1j1Cv USi-I l am{ CJPSL- <br /> Square feet 6 0 SF Cost Ni o,t e s u r t l-e. t• w / 53545 <br /> Copy ..' ocation <br /> GLa1--tyi � q ,, y ( 'I) a <br /> --moo nvo ��k-.. P/L, -.-<bIK7 . <br /> /mac. -/-o <br /> s 4iK_ coc_c,ls , o1J /ZEP/I /2 p <br /> �Ci.7 7 L/� r C In c: �c r C, rZ Road u \O\f.�'�- <br /> / \ <br /> r--+leSSQg9 /;� e.5 l9-) + I <br /> lb <br /> Golf t- 0-i Si1 ,,1 \,i OKi-tc! • /0 ' <br /> Spied 1;,,..,« OW 5/ :( 55 IS J <br /> Show location of this sign by "x".Show location of any adja- <br /> cent signs by "o".'Show distances from nearest intersection <br /> "Ii°1AVA4, / Applic- t and adjacent signs. <br /> iff Signed <br /> Permit issued / 5 C-' Inspection <br /> ,IIIIP .'-/ Date By <br /> �� I <br />