HomeMy WebLinkAboutSign Permit 96-057 - temp
White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. q~ -- 0'51
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued 1. PARCEL NO. OF PROPERTY:
(Please print or type, and sign where required 1_
S1. PA (jLS L U7jff/21l1U ~HU/2~).j~IoB</ LUrHIR. /J1(j
2. APPLICANT: (NAME) .... .(ADDRESS) .... (PHONE)
3. OWNER:
(NAME)
fJ/2 to/(
(ADDRESS)
LI; 1<.[, Ih I()
f./l/7- a/17
(PHONE)
SA-me:
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
ON HJL&-IUQ@/;li oFflf!URef/ ,8LIJ(b-PI}(lIA)~ f/WY /3
5. TYPE OF SIGN: TE 'RAIfY '1}AYMAXIMUM DISPLAY) PERMANENT (WALVMARQUEE;AWNINGIFREESTANDING)
Balloon" Banner" Business "Changeable opY Signs"Construction Signs"Illuminated Signs "Institutional Signs"Lake Service Signs"
Multiple Residential Nameplate Signs "On-Premise Directional Signs "Permanent Window Sign "Portable Sign "Subdivision Identi./ication Signs
6. SIGN DIMENSIONS
(square feet) (Height)
y X
10. Estimated Value of Sign
(Width)
(Depth)
woof)
8. PROPOSED DISPLAY DATES (if applicable) t')
dUAJ~ ~ 70 - (J vCr Y (). 0 J 7 C; b
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 Planner can revoke this permitn just cause. Furthermore, I hereby agree that City Officials or a designee
t~reef may enter upon the property to p~rfi n~e.d.. ed}. ections. <Lj~
"'-~ / \. - 6-~(P-
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_ Completed Application
_ Scale Drawing showing location of sign
_ Plans and Specs ..-
-k-L"Permit Fee $ I") tv\) (Permit fee is set
at time of application according t pprov. d schedule)
This APPli~:;:Q Sig . when approved.
City Planner or
7-(-0c,
Date
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.
Special Conditions
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24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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August 15, 1996
Ms. Connie McFadden
5390 180th Street
Prior Lake, MN 55372
RE: St. Paul's Lutheran Church and School
Temporary Sign Permit #96-057
Dear Connie:
Enclosed is your deposit check of $1 00 for the temporary sign.
Sincerely,
~
Connie Carlson
Planning Dept. Secretary
Ene.
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DOLLARS I'
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ST. PAUL'S LUTHERAN CHURCH
AND SCHOOL
5634 LUTHER DRIVE S. E.
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(0'" 0 75-905/919
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$1t1t1_ ~
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AN EQUAL OPPORTUNITY EMPLOYER
RECEIPT
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DATE_ffU eJ it '1 G
CITY 0 F
PRIOR LAKE
4629 DAKOTA STREET S.E., PRIOR LAKE. MN 55372
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Rece;ved of /J.1, MAA l Iff-- i1(f.J.-cfhJ!"1 (U/) t~/t1~
whose address and/or legal description is
the sum of
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dollars
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$
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Reference Invoice No.
/?A < 11 '
(AJ ll/l~'U/ ;Cl,di4/]
Receipt Clerk for the pity of Prior Lake
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