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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. SW --S---- 2*---- <br /> The undersigned hereby applies for a permit to erect a sign as described below. 1 The undersigned declares that the statements made below are true and that the FEE cu <br /> proposed sign and its location are all in full compliance with all laws and ordi- <br /> nances applicable thereto. <br /> ��jj 1 <br /> Town "�/b0,4/ )r P Section 3 '/ '/ J" Q/Vk <br /> Lot Block )5 gubdivision L AS 9 I , Get //z y 4e P/7 <br /> Land owner Sign o wner <br /> 6 e-Q v g V Al'l' ///e-eS 4l i Cray 13610 U r <br /> 3 -/ CoMl- evc/q/ /9144, 332/ ComMev-e-ial v'P <br /> N ! olt) W: ? // Mad ( se /1) (,() ', <br /> Zoning district ( -2,--- Sign to be installed by I / <br /> Type of sign f/oAJ Cq' II4 l ciY coil Syj11( -T/VL- <br /> Dimensions Se P I-71. \c,) � 7/ oi``...s-`rti) Pi <br /> Square feet SPA' QttCost `' 1S. h o "I4 J;3 D dJ [Air S32/b <br /> Copy Location <br /> z <br /> iipo <br /> CYCif ogq 4 / <br /> C_PisioA) &me'Y <br /> Road <br /> ‘.o M M C''c' ) pi/.t ST`/ 3 U <br /> f rom 1 _ r <br /> 97 i <br /> Se <br /> o <br /> z <br /> Show location of this sign by "x". Show location of any adja- <br /> cent signs by "o". Show distances from nearest intersection <br /> Zrailibillialli .,AJ.414111 ,...041.A.,,A i <br /> Applicant and adjacent signs. <br /> Signed <br /> Permit issued / d / i Inspection <br /> ♦a M Date By <br /> Zoning f.-rvisor <br />