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<br /> Slgn ttes.^.aEn: . . , /j `-' �_.
<br /> � ��q '� Address of Pcopeccy Proposed Si�n ,. , ._
<br /> q y wil.l bc I.ocnCed• : `' I /: i�7,:�;5-�-� /`l.•;:: t
<br /> 10� $7 C9 -
<br /> H y�qG � Lr.gnl Ucscxiption: �.i"";�`.�'',`
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<br /> K Q �.l ^'•. '1 - �,=ri _ or;r�
<br /> o x o Tnx Pnrcel No. ;�•5" J� �, _
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<br /> t]mnc of. Appl.icnnC: `: _ '
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<br /> O H � AtIIIL'C99 of AppllcnnC: � ?.c,; \��` A� �:=:-•�� ;i /�?.�^% .�.
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<br /> Zy � App].icant's Plione No. `, L-- _ ��;) �� --
<br /> � � H � Owncr of PeoperCy: ,��Ar,^.r'.7..v d- /'�S.S�s . /'tA��:�-n�.`�.�i c'c..
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<br /> n c7 ai ���nny n,d�.;_�r:t�.,� ,,,i _ AJ 3 ] •rv
<br /> � � r Property Ownec Addcess: � 9YC'� f yo ,l , y:. . � , ,�o;,,..�.,..�'.��. ;..F�, ,,
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<br /> H n � Propexty Owner Phone f]o. ���• -�--'-�ihn^y „ti'ti 1,�,�i�." L.ii-�i%'_1
<br /> Owner o£ Proposed Sign: �,./����.• 'l� /; _ _ ��='�-
<br /> S1�n Owner's Add[ess: � ..tO r' `,�/- �,' !i:,✓-_�c?; f=�r:__, u,n:, .
<br /> Si�u Instnller: �1 �- �!"• r. :�,,•>,c,},
<br /> IIISC:ILLCI�S �1(�C�YC^S: �. '� �•� '1 %.IGJ �' ., ' �;'
<br /> 1nsCaller's I'lione No. � '�" `� r � ` '
<br /> � CLEGiRI^ I i�^n^^ s=:.�. i: cl si-ni
<br /> Instnller s Licensc t7o. '�.,
<br /> / -` ��'1C.�?a'iii^:f R ; :�.y.� i��. ' ..` r,..
<br /> ( I �'.: ... _ �•• ,.'.• ISU �1 N1.17�`,�. � �Jv �J
<br /> . ro C1ecCr.lcnl I.icense No.
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<br /> 1 1'ype of SlEn Proposed: Frcestnndln� � Wnll troJecting
<br /> __
<br /> f Dlrectionnl Dlrectory OChec (Speei.fy)
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<br /> ' Vnluation: � � '�" —
<br /> :� _s 'Cype oI Illmninntion: None X� IuCernal Iudlrect
<br /> Slgn Aren oL Croposed Sl�n: ���'��' �' `" � squnre feet
<br /> IlelghC of Praposed Sl.gn StrucCure (Lf LreesLnndin�) : Leet
<br /> ��
<br /> SetUncks oE Proposed Sign StrucCuce (1E freescnndln�) Irom:
<br /> '' '=1�' Front Lot L1.ue Ncaresl' Sldc I.ot Line (1uCcrLor)
<br /> � Side LoC Llne (corner) Othec Crec.tnndin� Signs
<br /> Is tl�e si�n LocaCed on-premise (snine loC as product oc use being ndvertlsed)7
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<br /> Yc^ tIo
<br /> If you hnve nny question.^., plea.^,e couCncC Che Gverett P1annLu� DepnrCmenL nC
<br /> 259•0731.
<br /> (Y.I.W/Rh) I
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