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:APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT N0. ,ct /_ 783 <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 W/l r / i/ 6-1t- ✓6 Section / / /"- <br /> Lot,.. 5-7 <br /> Block )S 1 Subdivision j//Stijl L. 174/4 9 Ae/ <br /> Land owner Sign owner <br /> / <br /> wr. :t1.:, get 3 ' / CD/11/1.1e✓c /4 / I/P 6'g M t <br /> ,I�1 q d,s^,,v (,,�i,' S3 7/ <br /> Zoning district [ _ — - Sign to be installed by <br /> 71-e4 Type of sign �Q// �G) !.� �° r, , C/�/� �eoiS/ �/C� Co �i�c <br /> Dimensions 3/ /6 Z7 /7 .7-Pd,431 ' J <br /> Square feet Cost 7/il(9©D /qe)1 SD ) W % - 7/3 <br /> Copy Location <br /> z <br /> 0 <br /> a <br /> a <br /> (q y $ <br /> Road <br /> Sew .9/4 6)/) : <br /> Show location of this sign by "x". Show location of any adja- <br /> cent signs by "o“. Show distances from nearest intersection <br /> Applicapt and adjacent signs. <br /> //' %/ <br /> Signed <br /> Permit issued — le- - / Inspection <br /> £ 4.4.. -Wit” .!.... Date By <br /> Zoning Sup i <br />