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SIGN PERMIT APPLICATION — Burnett Countv, WI 3 2 <br /> v v` W <br /> Permit Fees: F <br /> Off-Premise $t00 c <br /> On-Premise $50 <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 /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name:St. Croix Tribal Economic Development Center <br /> 1 <br /> Property Owner's Mailing Address:24670 US Hwy 35 & 70, Suite 900 Siren WI 54872 K` <br /> City State Zip <br /> Contact's Telephone Number: (952) 908-9132 <br /> Contact's Email:krystal.prueser@indigosigns.com <br /> ** If staff has a question about this application,you will be contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address:@a,BurnettCountyWl.gov <br /> Legal Description of Property: Lot 1 CSM V25 P 175 (SW NW) s <br /> Section#:S27 Town#:T41 N Range#:R16W W Town of: SwiSS <br /> c <br /> *Attach additional page if ireeded.Jor lengthy description OR attach a copy of the deed OR attach raY system property page.* N <br /> Tax ID#(1-5 digits): <br /> 34179 <br /> T <br /> Property Site Address:30214 State Rd 35 77, Danbury, WI 54830 0 °° <br /> TYPE OF PERMIT(S): Check appropriate box/boxes <br /> ❑ off-Premise R On-Premise ❑ Directional(Off-Premise) U <br /> N <br /> Sign Contractor: Indigo Signs- 7660 Quattro Dr, Chanhassen, MN 55317 t �1 <br /> Anticipated Construction Start Date:05/21/2025 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Z <br /> ev <br /> i M0' 's -F bulll <br /> H <br /> cSf 440 Gt <br /> s <br /> Fee Rec: <br /> Ck <br /> m <br /> r <br /> A <br /> ^/i <br /> Vl <br /> 90 <br /> Date of staff site visit: ✓� 2S Initials of site visit staff: <br /> -"i a lJ IJ IJ <br /> PERMIT APPROVED BY LAND SERVICES OFFICIAL: ATE: S/ ZOL C m rn <br /> y < 3 <br /> Page 1 of 3 1 CD <br /> Burnett County,WI Sign Application—Rev 11/2024CD C <br /> r <br /> y m <br /> D o <br /> 4 <br /> 7 <br />