First, I was alerted by locals in the LGBTQ community that this sign had been posted at the local bar, and that an incident had occurred were a trans-woman was asked not to use the ladies room, due to the "M" on the license she presented. Her Name is River Rising, and she posted this about the sign.
I went to make sure the sign was real:
So I called management to ask about it:
a few hours later they posted this:
long with this photo, where the other set of bathrooms in the bar, now has a gender neutral label. So that there are 2 ladies rooms, 1 mens room, and 1 gender neutral restroom (with urinals in it)