HomeMy WebLinkAbout010-841-20-2403-SGN-1994-008 � nl�plicat=ion Lor Sihn Pcrmi.t
. County of Sawycr
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Tr.e undersigned hereby makes application for a Sign Permit and �
aarees that all ti,rork shall be done in accordance with the require- �
ments of the Sawyer County Zoning Ordinance and the laws and reg- o ,
ulations of the State of Wisconsin. �
PRINT - US� BLACK INK OR PENCIL ONLY x
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Leanne M, and �'
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Michael W. Hansen Michael W. Hansen a'
Owner of property O�vner of sign
Route 1 Box 1456
mailing address mailing address
Hayward WI 54843
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( ) Off-premise sign
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Type 3 & 5 � �
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Size �_ ft wide 1 x'
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�_ ft long � urnt � � � � �Gs � �
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area �a, sc� ft ' ' � �
Total hgt � ,L ,• from grade ; P ° '� � � y f � �
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Type of construction show all setbacks below
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Construction cost $ s '� ; � �
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Issued: �� JU�(� ���� Denied :
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owncr Zoning nclmin� str tor <�
�\ppli. cat :ioii 1�or 5 i_ ,�, ii I '�� �-in _i t '
County of Sa��ycr
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The undersi �ned hereby makes applicat :i.on for a Si �n Permit and o �
aarees that a11 ��orlc shall be done in �� �. cordance with the rcquire - �
ments of the Sati�ryer County Zonilig Orcliilance and t}Ze laws ancl re � - o
ulations of the Statc of ti�lisconsin . � �
PRINT - US� I3LACI� INK OR PENCIL ONLY
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Owner of property Owner of sign �
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mailing address mailin� acldress
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Class G � �
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Zone District � - 1 �
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Size 3 ft laide � x �
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area I Z sc{ �t S � � ;o�� y �
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Total hgt g ` from grade � G,
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Location � �' �
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STH 7 � 4� Sr � �
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Type of construction shoi�r a11 setbacl:s belotia
(,� Frame 5"°? �
( ) Fiberglas R�
( ) Metal 1,�°_ �� �,�
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Construction cost � 7S`' z
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Issued : � � �UC�UcS� ��� Deni. ed :
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otivner Zonin� Aclminls i a�l= z� -.
OUT`DOOR SIGN INSTALLATION APPLICATION AND PERMIT �inDepartmentofTransportetia�
Irtferstate and Federal Aid Primary Hlghway Systams
o�un sei
k�structlons to Applican� Submk the following to the Distrkt Offlce kientltied In the b{ock entitled, 'Mafl Completed Permk Apptication To:'
� 3 copies of this application with all entries completed down to broken line;
d, 3 copfes of a sign sketch illustrating the size (by dimensions), shape, color scheme and message ot the proposed display;
C. 3 copies of.a site pian drawing, detailing sign positioning with respect to the highway, direction(s) of the sign's facing(s), and whether the display
will be on a building or free sianding. The location for On property signing shall be referenced (distance shown) to the nearest part of the bui�ding
in which the activity is conducted or managed. Indude on the drawing the locations of property lines and development features, such as customer
particing lots;
D. 1 copy of documen4ation from the jurisdictional zoning authoriry to prove how the property is zoned, indude date current zoning was established.
If no zoning has been assigned to the property, lndude a statement from the Jurisdictional zoning authority to the eftect that the land is unzoned;
E A check or money wder (no cash) made payable to: Wiscortsin Dept. of Transportation to cover the required permit fee. (See kem �6 on back.)
1.FYphway No. 2. County 3. �{ Town � Cily �Vdtege 4.HI9�*�°Y �° � North � Eest
� ��`"1 � �� OF: �F� ✓<': :-��� L�J�"'�' ❑ West
S Land zonl^9 �P�� wPP�� 8. Sign Localion —
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Sign to be bcated withl� the �C � quarter of the �� �(-L' querter of Sedbn ` ��-_
Otle of xaiing �, , � East
Tovmship 7 I North, Fiange �) �West
7. Didanc� beMw�n s{pn �ils end r»�sat hlghway IMensction to sithx side d the rogulated highway In both diredbns alcxig ths reguleted highway —
Indical� p�rt trM�ssUlon from whkh rt�sasuromant taken /� �
��� � C �.�� � � � C i _
(F«q (Easf. wea. N«cn, s«nn) (IdeMiN roee meewu.a tr«n)
6. Disfarx� from tM hlgMwy iigM af way pM 8. Slgn to tecs (compess diredlon) 10. Slgn IIIumination � gs� ��M
ne 7 �� �o �- ►��M.
n. wm. .na .aar�s. af p�non «eor„p�ny wno wl�� �mw� u,e .Ign N.vprovee 1 z. �rnlelle. �kerae numbe. N rwne, so .tate.
� �/ ' CG .n �
13. Slgn Cabsgory 15. Slgn TYpe
❑ More than 660 feet from highway right of way �Single Face � "V" Type
May apply to any of the following: � Back to Back � Over Under
.� On AdveRised Property Free Standing � Side by Side
❑ On Advertlsed Proparty and on building ie.,a�+�rn r� Telephone '
❑ On Advertised PropeRy tor guidance of internal traffic i � lr � c C. L�i /'1/�7�5�/l 7l J� � > `!-� � � �
❑ Off Advertlsed Property (Must complete item #�7 on back) s��� nca��
❑ Service qub i�;'= � �� , �; � �� � C,
❑ Religious Notice cRy. s�ue, z�P
Si n on officiall desi nated school bus sto shelter ' ` � -
❑ � v 9 P '- ,_� _ /� _ _ �""�� -- _� �'
Affidavit from,school oHicials required Meil C,ompleted Permit P.pplication To DOT District Office:
k{athy �sc: rtram
� Directiona! as defined by Subsec. Trans. 201 .05 Admin. Code District II Sign Permit Coordinator
(Must complete item �Y7 on back)
H box is checked, advertiser sign below: P.O . BOX 42g
❑ Official sign (Gty, Vllage, Town, County, State, official to be applicant) St�perior, WI 54880
If box is checked, official sign below:
The undersigned applicant requests permission to install and/or
maintain signing as described.
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X X � '��� l� �%� � //�u- 1�- - � �'—� `
(14. Advertfser OR Offlclel Signature) (17. Pem1k Applicant) (Date)
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
PERMIT
Subject to compliance by the applicant with all requirements of s.84.30 Wis. Stats., with Ch. Trans. 201 Wis. Admin. Code, with other statutes and
codes applying, and with all standard and special provisions on the reverse face or attached, permit approval is granted to suthorize installation and
maintenance of the specific advertising or informative display described at the precise location defined. This permit will expire one year after the
Permit Issuance Date if the sign permitted here is not installed by that time, unless the Department has granted a time extension in response to written
justificationa.
Access from the travel lane or any interchange ramp of any Interstate highway or any other controlled access highway for the installation, maintenance
or repair of the sign is expressly prohibited.
Completad by Wlsconsln Departrnent o( Transporeation:
Slgn ArN . R.) Chsck N�mber Fee ReteNed Pem�N Isauance Dete PertnM Number
� ' --S �� s /d �) c� ) _� 3- i� S— - '����Ssi %1
l�_ __�_
ThIs P�rmk Is Revocabl� ey �.� < •=� -_ - -- -_
� ,��Approval for State Mainlenance Engineer for Highways)
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`\\\\�a�tuiulup�i�i,�,' -
; € Wisconsin Department of Transportation
��O �imluNo���°��\
TRANSPORTATION DISTRICT 8
Ma 13, 1994 1701Nonh4thStreat
�' P.o.so:azs
Supenor,WI54880-0429
Telephone (715) 392-7925
MZCHAEL W. HANSEN
FAX f)15) 392-7863
RT 1 BOX 1456
HAYWARD, WI 54843
Subject: Outdoor Advertising Sign (s.84.30)-Permit #57-80494-94
_ County of SAWYER
Town of HAYWARD
on Highway 077
--IMPORTANT INFORMATION REGARDING THE ATTACHED PERMIT--
Enclosed is your approved State permit for the signing it
identifies and describes. The permit recognizes that this signing
conforms to the requirements of section 84.30 of the Wis. Statutes
and to other Administrative Rules and Laws currently applicable and
effective.
This permit is effective until superseded or revoked.
The department does monitor the installation and maintenance of
permitted signs. If we find that this permit application included
misrepresentation or that the signing is otherwise in noncompliance
with applicable regulations at the time of issuance, it may result
in revocation of your permit.
Piease contact us at 715-392-7984 if you have any questions.
Sincerely,
Del R. Laughlin, PE
Di� "t Chief Maintenance & Traffic Engineer
/ j'C'�\C C._ �% -C'�`-\_
B. :�Kathy'�Bertram
District 8 Sign Permit Coordinator
KAB:
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