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©0 01 : 15 PM CLOVER MnINTENnNCE INC <br /> ,gyp _Qi3_2Ot3O 1� 32 BJRHC-TT COUNTY GOO CENTER <br /> 1�153a521�2 P.01/�1 <br /> Fag. I -�o• �"I�64 <br /> Oit•Premise................. ... S so <br /> 5:00 <br /> On Prcm►lc ..................... S Zi .M <br /> Commerclr<t Dlrcctlonc�l... <br /> BURNT '1-'1' C"OUNTY SIQN PERMIT <br /> Applicant: <br /> Address: 11 LV ' \_ Cl ot� <br /> _Phone <br /> property Owner: �, ,�� y , <br /> Address: <br /> t on I�Ifilrinntion G p� <br /> Si n T ?c andl_]..gf,,9..�.._..__ SIn1 <br /> ­: 1n 5�11 <br /> On Premise � pirecnonal D <br /> Type: Off PrCmise O f �n <br /> or 5W v, Propcvty ZOI1in�.��—= <br /> Town 1,�Qy��,...�•---- <br /> Section Gl <br /> � Highway/Road Sidc N Lj, S L [7 W C7 <br /> Highway Road ramc <br /> y � � •_feet <br /> Distance from Highway/Road Right•Uf-�Va � , � • � feet from eentetline of <br /> ' �n location'and nearest road ► tersettion <br /> Distance between sib <br /> w-1- <br /> roadlhighway. Y; f <br /> nearest existing off premise sign (off premise sign applicants only) feet <br /> Distance from <br /> Numb <br /> er of existing fc^e standing s1811t(an-premise only) .-..:�._.- .�:Est of my <br /> I declare that this app ncibte for t1 c dotail and accurate'of all <br /> licntion;incluect and any <br /> f acknoin lweedge il'Al"In rc po M3 been ed by me an to <br /> knowledge rind belief It is true,tort ,er dactare that I recogni�.e that <br /> c licauon(including, accompanying schedule)and I ftlrt) whether to issue ri <br /> infonnaiton contamcd In t . APP on this infonnation I an►providing <br /> alis infomialion i am providing will be relied upon <br /> ar esutlt of the county <br /> Burnett.rely ngdete ces o other aut)torized <br /> l; ordlnan <br /> permit. l further accept all l,abilit)•which mai b e purpose of inspection, <br /> in this application. 1291 to permit scribed pmr niscscoutitlt t any cmonable tlmt for thu <br /> person to have INC$$to the above _^ - --- a <br /> Signature Applicant: <br /> Property Owner. <br /> form n ne t.� '—irc�f• �� � �` �l' <br /> �►r-n Tn--� ' <br /> a <br /> Ptnvidc tjketeh.iilustl•atinD'the'sizc(L� dimcnsio , shape rind message o sign �CW <br /> positioning on property with referenced distances w property ► / <br /> / <br /> PnL.S, r site plAniers ctium detailing <br /> right-q?f-waYs and Fisting signs <br /> lints, road lours <br />