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r va <br /> SIGN PERMIT APPLICATION —Burnett County, WI <br /> s <br /> N <br /> Permit Fees: 5 <br /> CD 1 <br /> Of Premise $100 CN <br /> f <br /> On-Premise $50 )t <br /> w <br /> s; <br /> Directional(Off-Premise) $25 <br /> *NOTE: After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> q <br /> Applicant Complete All Sections Below This Line A N <br /> n <br /> Property Owner's Name: NORTH CAMP PROPERTIES, II g <br /> r <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 a i <br /> City State Zip s <br /> a <br /> 715-204-4043 • <br /> Contact's Telephone Number: lb <br /> 1 <br /> Contact's Email: kellee@northcampproperties.com • <br /> 'v <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is --...„, <br /> legible and your email provider will accept emails from the following address: @BurnettCounty.org and <br /> @BurnettCountyWi.gov n 1. <br /> Legal Description of Property: LOT 1 CSM V26 P291 (SWSW) #450836 <br /> Section#: 34 Town#: 39 N Range#: 16 W Town of: MEENON N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* r <br /> Tax ID#(1-5 digits): 34939N go <br /> Property Site Address: <br /> 6910 STATE ROAD 70, SIREN WI 54872 <br /> ^� <br /> P -` <br /> 5 <br /> S. <br /> TYPE OF PERMIT(S): Check appropriate box/boxes <br /> v) <br /> ❑ Off-Premise )1 On-Premise ❑ Directional(Off-Premise) W <br /> Sign Contractor: p NORTH CAMP PROPERTIES 7 x <br /> Anticipated Construction Start Date: ON OR ABOUT 05/25/2023 n Nh..... ,'. <br /> :v <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x 7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: x <br /> s►r t 7 6d at /ee 7- /6 , et f?e- tk pA/-o F- may. <br /> S ert ce-s je. paw//�. No n u rt s ha,e-d signs . --o <br /> S1�K vw� �' eccee-� S0 s? 1 per- sips face—. <br /> 0 A}ny 61ktffl it? ID 4e- 4 toktwQraC fauKp. x <br /> 0 te 1 i S 1961 S 7 lo l G �wt p4 vO <br /> 4) /I/& 23 f ql e.s Fee Rec. 5-� <br /> / e <br /> Q re— T—i/ e- Pit S t Crktd. Lt9 e$ S I' N S . r Ck#: / j <br /> a <br /> 2 <br /> b <br /> m <br /> ao <br /> r P <br /> rii 1 <br /> Date of staff site visit: 6p / Zo Z3 Initials of site visit staff: CA <br /> '/ <br /> PERMIT APPROVED BY LAND SERVICES OFFICIAL: TE:(p// 7 2-3 2 CD co ffill <br /> > 0 <br /> // `.' <br /> Page l of 3 iii A - IT <br /> Burnett County,WI Sign Application—Rev 12/2022 r< g N <br /> O m.- N <br /> a m C� <br /> R. trifil <br /> JJ <br />