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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. zw4p-(34L <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 25c -n® <br /> proposed 'sign and its location are all in full compliance with all laws and ordi- <br /> nances applicable thereto. <br /> Town 1 ) eQC ,P Section % '' <br /> Lot Block Subdivision t-- <br /> Land owner Sign owner <br /> YI /40 0/ c e 1 lee ,S/O/ .44}/ 6 <br /> P 1 L 5353 / Vtf CI- LSt. 535-BLS` <br /> Zoning district 0- ( Sign to be installed by <br /> Type of sign 0i4 OreV-nkse._ � �n <br /> r �YY�c.�-� ��1'�.0-��S i <br /> Dimensions /c21) u' ? a iX " Z) 'ZGA-C,l{ <br /> k° 3 Dn7 •v� <br /> Square feet 6lY) Cost <br /> 3 o0 4 S} Copy Location <br /> 0 <br /> a <br /> 0. <br /> VJ4t-k I OL..S r �i <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 /> Permit issued Inspection <br /> Date By <br /> Zoning Supervisor <br /> 545-111(2/98) <br />