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• <br /> APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. Z (3-t3 <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 °y' <br /> proposed 'sign and its location are all in full compliance with all laws and ordi- <br /> nances applicable thereto. <br /> Town iQQ c Z I -e tcl tt <br /> Section 1/4 '1. <br /> Lot Block Subdivision D1ll-1P(- SILO- <br /> Land owner Sign owner <br /> ���1✓� -Ce r`l �w�e_� L ckmc.�c kr-1%/v c Sg-;s; ,-,S <br /> /2 aid gd 5707 ,44.9 y (5- <br /> 1�e -e d S35-3/ v; 11-e_ , WL $3.,‘"�/�S` <br /> Zoning district, C / Sign to be installed by <br /> Type of sign O44 PC-eY)1 s - LjeClc-:c, <br /> Dimensions X- /02X ac a-111 #-o gAC-K <br /> Square feet ZOO Cost i3 06)0' OD <br /> 3 oU S a4 Copy Location <br /> e sic -� <br /> 0 <br /> Road <br /> Show location of this sign by "x". Show location of any adja- <br /> cent signs by "o". Show distances from nearest intersection <br /> Applicant and adjacent signs. <br /> '� Signed <br /> -7 <br /> Permit issued lx� ^e 'er Inspection <br /> Date By <br /> Zoning Supervisor <br /> 545-111(2/98) <br />