Laserfiche WebLink
SIGN PERMIT APPLICATION — Burnett County, Wl z <br /> n H ' <br /> Permit Fees: <br /> Off-Premise $100 / r� <br /> On-Premise $50 O <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 /> — 0 <br /> Property Owner's Name: CjAcn-u Ve_jl qea5c l;= <br /> r <br /> Property Owner's Mailing Address: 39, 3a T k `x� <br /> City State Zip a <br /> Contact's Telephone Number: <br /> r <br /> Contact's Email: G/inti e� V lc�:i S i 21t��(o�: = CL AA- <br /> Legal Description of Property: <br /> Section#: Town#: N Range#: 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.* o <br /> Parcel#(24 digits): <br /> Tax ID#(1-5 digits): <br /> Property Site Address: Ax.), o <br /> N 00 <br /> TYPE OF PERMIT(S): Check appropriate box/boxes o <br /> ❑ Off-Premise X-O ❑ <br /> '/ n-Premise Directional(Off-Premise) <br /> Sign Contractor: V�'rl k 4-53eo- 61S6 . <br /> Anticipated Construction Start Date: ' - ` <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> r <br /> T 1H1I PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> k' h <br /> G Y�JV C- ��( l 11 st <br /> V`M <br /> N o �� <br /> Fee RJ- <br /> Date of staff site visit: 3' ( I Initials of site visit staff: S� i✓I> OD <br /> PERMIT APPROVED BY ZONING OFFICIAL ,/N ' 'JC� DATE:3 N Z <br /> ©m CO <br /> P z <br /> Page 1 of 3 v C <br /> Burnett County,WI Sign Application—Rev 1/2017 4 Z <br /> E» <br />