Laserfiche WebLink
SIGN PERMIT APPLICATION—Burnett County,WI z <br /> Permit Fees: 0 �o <br /> Off-Prcmisc $100 a <br /> On-Premise $50 O <br /> Dircctional(Off-Premise) $25 <br /> *NOTE:After-the-fact(when no pennit 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: ►T ph/t d` Qwy�_ r <br /> Property Owncr's Mailing Address:277t Z i o <br /> City State Zip <br /> Contact's Telephone Number� <br /> Contact's Email: r�oe—er hyR 4nsq rT'y � �e o ` <br /> Legal Description of Property: <br /> Section#: '2-40 Town#: _N Range#. '� IV Town of: p <br /> v, <br /> *Attach additional page if needed.for lengthy description OR attach a copy of the deed OR attach tax spstent properly page.* � <br /> Parcel#(24 digits): 07 - DU' 2' 4v'I to— ; c)7——0oo— o l 1000 <br /> Tax 1D#(1-5 digits): 13,791 <br /> Property Site Address:V 760 <br /> 5' <br /> TYPE OF PERMIT(5):Check appropriate box/boxes d <br /> ❑ Off-Premise -;;Y ,.Qn-Premise `❑' Dire-cti/onal!(O'ff�,-,Premise) <br /> Sign Contractor:_ 1V eDry 7n1/ pF <br /> Q v <br /> Anticipated Construction Start Date: <br /> i7 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THUS PERMIT IS SUBJECT TO ALL CONDITIONS ISTED BELOW: <br /> qt /ear s 70 �PA fie_ d <br /> t o ` , <br /> Fee Rec: <br /> a <br /> r <br /> Date of staff site visit: �� J Initials of site visi ff.. S <br /> PERi111T APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> 7 p_ <br /> M m <br /> Page 1 of 3 2 3 <br /> ej <br /> Burnett County,WI Sign Application—Rev 1/2019 N00 <br /> ^' <br /> cn <br /> H tD C �2 <br /> _Q <br /> 3 45-5 <br /> tD Ifl(71 <br />