HomeMy WebLinkAboutSign Permit 96-050 Universal Title wall
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit NotJb -~-o
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
2. APPLICANT: (NAME)
(ADDRESS)
3. OWNER:
L I Gth71016-
(NAME)
I,A/~
(PHONE)
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(PHONE)
0/5' /- 221?
(PHONE)
IJA/Ii/'U2S~ 'h7Z ~
4. SITE ADDRESS OR LOCATION OF SIGN
/ <V./ B 0 ~".. ..-M fA,<. C' ~ KJA/ t
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAy) PERMANENT(WALUMARQUEElAWNINGIFREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
2 z.. 5' 3~ /,
7. TYPE OF CONSTRUCTION
(Width)
?'
(Depth)
S'12 I'
10. Estimated Value of Sign
-1 y~o
11. Completion Date
& -U-?p
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8. PROPOSED DISPLAY DATES (if applicable)
L erTt'Al'5
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certifY that I have furnished information on this application which is, to the best of my knowledge, true and correct. I also certifY that I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City PI an revo is permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to p;rform ne ed insp ti
A
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DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Ci~ty lannerfr es'
Date ~ _ltf ~ (,
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This is to certifY that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, when signed by the City Planner or designee constitutes a temporary Certificate of Zoning compliance and allows construction to
commence.
---LL'Completed Application
~e Drawing showing location of sign
....-i'lans and Specs
ermit Fee $ ?J1J (Permit fee is set
at of application according to approved schedule)
hen approved.
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
RECEIPT
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DATE
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CITY OF
PRIOR LAKE
4629 DAKOTA STREET S.E,. PRIOR LAKE. MN 55372
Rece; ved of _~( PM~ ~~vC/ ,
whose addres~ and/or legal descr tion is
the sum i-~3J p '---1IUIef7 N! tfj
for the purpose of
dollars
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$ 7z() ,IV
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