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'R-11-00 01 : 15 PM CLOVER MAINTENANCE INC 464 44a'd <br /> 6s - 00--0-n <br /> APR-Qt3-2000 16;32 BURNETT r_GUHTY GOO CENTER 171534921012 P.01/01 <br /> Feca! Computer y `71 <br /> �: C��8_ 33 3q - (� <br /> Off-Premise..................... 5:00 1 -co5�•• �64_ _._..._... . <br /> On-Prcmiee S so _r1_M/c I_/!„„,,p /�.0 alq. <br /> CommerclalDlrecttanal... S 25 G"�" <br /> BURN 1:"I'"I' +^OITNTY SIGN PERMIT <br /> . ..sr._ ►^1 l <br /> Applicant: I_i ^A <br /> Address: IJ - <br /> S ' r e —Phone * 71 S- 3 y `7 A moo <br /> Property Owner: ,r.� C-�'1 �� M <br /> Address: <br /> 2 as L:2Dt'` . n 4 (�sl- �y Z q <br /> Sign T _ <br /> vue andLgc„af�on_Lnf��rrnntion L ot CS� <br /> a)490 <br /> Type. off Prcmise ❑ On Premise 5& Directional D in SiUSirtl <br /> .n� 3�-1b ' r rent' <br /> Town i►tic u�,r�o,/\ _ Sections Cal• or V. Property Zottine <br /> Highway Road Name. L.� O Highway/Road Side N Cr'S o 1.: D W El <br /> Distance from Highway/Road Right-0f--Way e o a._.._feet <br /> Distance between sign location and nearest road intersection w feet from centerline of <br /> road/highway. <br /> Distance from nearest existing off premise sign (off premise sign applicants only) feet <br /> Number of existing free standing signs, (on-premise only) <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and cornplete. I acknow:cdgc that I am responsible for tl:c detail and accuracy of all <br /> infonnaiton contamcd in M. application(including any accompanying schedule)and I further d:clam that I recognize that <br /> Utis information I am providing will be relied upon by the County of Burttert Wisconsin in determining whether to issue a <br /> permit. I further accept all habilit) which maybe a result of the County of Burnett relying on this information I alit providing <br /> in dus application, I agree to permit county officials charged w ith administering county ordinances or other au0horized <br /> person to have access to the ahore escribed premises to any reasonable Lille for the purpose of inspection, <br /> Signature Applicant V J� l�t/ = =�� �• ---. _---._ _._.�.. <br /> Property Owner. 4. - -- ----.-._. <br /> Sign Information R uiretl. <br /> Provide sketch illustrating the size (by dimensions), shape and message of sign. <br /> Ptuvide site plan drawing detailing location and positioning on property with referenced distances to property <br /> lints, road ivierseetium,/r�uad right-gf ways and existing signs. <br />