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con <br /> b <br /> SIGN PERMIT APPLICATION — Burnett County,WI a I. <br /> Permit Fees: 0 aCD o <br /> Off-Premise $100 <br /> d <br /> On-Premise $50 ,f °' <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 /> 7 <br /> Applicant Complete All Sec ions Below This Lin <br /> G)'-- <br /> PropertyOwner's Name: -Rb ICJt LLC, - 1 Ki -)ort kpkL ( , J) t� <br /> o <br /> .. <br /> Property Owner's Mailing Address:8 fin IN,vkieltr etelcy.. Rci. (J00(ibury Ill 5S1? <br /> City State Zip 5o 6. <br /> Contact's Telephone Number: J i) 50s-(„so or a/'�l TT 7-9, r <br /> Contact's Email: dD(Lin res p4@ 9plat(,COM <br /> Legal Descripti n of Property: (,oT C` C94 V(f PO/ (6L ) l'. 13519 <br /> Section#: Otl Town#T*)A 14 Range#: 744 W Town of: Sept- <br /> 7Cp`t n <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 4 <br /> off--o a 8 - 2 -�o -f4a1- 5 os-aha-O OOO <br /> Parcel#(24 digits): "lib <br /> Tax ID#(1-5 digits): I 0 r(� <br /> S <br /> Property Site Address: Y ��kLr)3u-..-ZN <br /> o <br /> 0 <br /> C <br /> TYPE OF PERMIT(S): Check appropriate box/boxes d <br /> h7" IQ <br /> U Off-Premise r'` On-Pre ise ❑ Directional (Off-Premise) <br /> Sign Contractor: /VOr Ia.r) Sz ns <br /> 9 <br /> Anticipated Construction Start Date: 3117 H <br /> d <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUB ECT TO ALL CONDITIONS LIST LOW: F z <br /> /s //m 1?-9 e-4/' S�-a 3o SZ 6 3 --� <br /> 6)5,yP <br /> N O1 <br /> 12 Make.- S a ve°. 54 ado es riot exc ..r A u;cif" of <br /> -57'X --Fet , <br /> -3 Fee Rec: .5� <br /> 11 <br /> r <br /> Q^ <br /> Date of staff site visit: 6 Z 9/��'� Initials of site visit staff: �-- u Uu <br /> 71/7/ZO?A sc Z ©PERMIT APPROVED BY LAND SERVICES OFFICIAL: DATE: / <br /> tc to c <br /> PA 1 <br /> Page l of 3 T 1510 <br /> Burnett County,WI Sign Application—Rev 1/2020 <br /> a <br />