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SIGN PERMIT APPLICATION — Burnett Countv, WI <br /> a � � <br /> y , <br /> Permit Fees: a' y v <br /> Oise $100 <br /> a ' <br /> On-Premise $50 O <br /> Directional Off-Premise) $25 m <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 =U <br /> o <br /> Property Owner's Name: PfaM,,ti,,,n Pyo l'(1 er4,'¢ > (-'r V) PFn}S hf -. <br /> o _ <br /> Property Owner's Mailing Address: ?V. 5o x Z(y 6 e ll S WeA k (A)3: HYD)l y <br /> City State Zip f <br /> Contact's Telephone Number: 715 -73_3-007 <br /> Contact's Email: black hearCo�3f�uG��unt� ��,nf �ink. nei} <br /> Legal Description of Property: i i 0• ►�I�nl <br /> Section#: 1A Town N Range#: I b W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Parcel#(24 digits): 0 -7- 0'3 2 '2-4 H&- 2 S" 5'-)S-714,-l7S V(10 D <br /> Tax ID#(1-5 digits): Z 3 0 T <br /> p I <br /> Property Site Address: '7909 Co y✓t')'y Qd N b <br /> 0 <br /> 7 <br /> TYPE OF PERMIT(S): Check appropriate box/boxes 0° I <br /> v <br /> m• <br /> n <br /> L3 Off-Premise i7'On-Premise Ll Directional (Off-Premise) 50 <br /> Sign Contractor: I <br /> 1 � <br /> Anticipated Construction Start Date: <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> - ra I I_r 0\./+ �� z <br /> 5� yfvL� O <br /> �i Fee Rec:Sor <br /> N <br /> f/) <br /> e <br /> m <br /> N <br /> O <br /> Date of staff site visit: of site yisit staff:J C Com/ <br /> V <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE � mM D� <br /> to 'J u u <br /> to w E� <br /> O IV <br /> O <br /> Page 1 of 3 m 1' �] <br /> Burnett County,WI Sign Application-Rev 1/2017 <br /> 3 <br /> X <br /> m <br /> A <br /> m <br />