HomeMy WebLinkAboutSign Permit 96-100 American Family wall
White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. i h -/00
QIRECTIONS: 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:
;LS,!08-D ~ q~
2'R~t~;~~: (~Ar:?"l~(/._ f\,';C; ~~J?!3S~-')r.7RS6aJ -OB-A-
p. (,,~\;':f(A,.J PcC"I>'\'\.IL-':J -:rN.s~"t::'F',J?c~
16760 IOPC~ID Ad. SIf I<'fi)k L~/Lj:::. 111Jt/
3. OWNER: (NAME). '(ADDRESS) I
jD~1IJ r>-r..:;D c~ect..... S<:f-,(C\:::LLF-J'L
/t...::;1I f-\.0711(:', //JR\r l <;;r-: [~-)
tr- t t. i:? L {;:\/ZP-: \ (iYl rJ . .~-> ~ 7 d-
4. SITE ADDRESS OR LOCATION OF SIGN
, .
I b 5- !l y.3. N oJ A 'J- ;2-t:', I L :;- ~ Ii P...{ci~~ L.iJ k~ I (y1 J\J ";-')3 7 J-
(PHONE) J
(11..(7- jtJ;)S
(PHONE)
4Lf1-:)D~
(PHONE)
Lf{f? - 5)3 f
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DlSPLAl? PERMANENT (WALUMARQUEE/AWNING/FREESTANDING)
Balloon * BanneT;*Business*Changeable Copy Signs*Construction Signs*llluminated Signs*lnstitutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Ponable Sign*Subdivision Identil!cation Signs
6. SIGN DIMENSIONS
(square feet)
(Height)
(Width)
'1'
(Depth)
81/
10. E;sJjmate_d V~u. e .Of8. ign
+//5L 0'- ..-;-
11. Completio Dl!,t
j
l-{ 3
7. TYPEOF CONSTRUCTION
f l \..~ s.)-\ \Y\0ULNTt tJ~\\AeF'l .h ~ \') \-\
8. PROPOSED DISPLAY DATES (if applicable)
{\,L.!Mld\;\(I" {~f\I''r'c ,?Lf:''JfrL~c, ILLuH'lutJ/.1fr:;
I / J
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished infonnation on this application which is, to the best ofrny 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 confonn to all existing state and local laws and will proceed in accordanc7/
with submitted plans. I am aware that the City Planner can revoke this pennit for just cause. Furthennore, I hereby agree that City Officials or a desi~ee
thereof may enter upon the property to perf< eed ins ctio s. I ., '
)1?/JI-'/'71-
DATE /
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
V Completed Application
-l.L Scale Drawing showing location of sign
-tL'Plans and Specs
--lL. Pennit Fee $ ~,.50 (Pennit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
(] j .
~ .'
Bye::':: . , ' I ~
City Planner or designee
Date 10 / r D 19 0
( I
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
24 Hour Notice for All Inspections
447-4230 from 9:06 a.m. - 10:00 a.m.
LC) f -.:) 0 t ~ ~1'\--~E.L
-+ ~L~~ -r-JJ~5,O~ 1'\1"\1 0>
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9. INSTALLATIONS, ALTERATIONS AND SIGNS. (a) Tenant, at its own
expense, shall purchase, install and maintain in good condition its trade fixtures and floor
covering, and all interior wall coverings and decorating.
(b) Tenant shall not make any repairs, alterations or additions to the Leased
Premises or make any contract therefor without first procwing Landlord's written consent
and delivering to Landlord the plans and specifications and copies of the proposed contracts
and necessary permits, and shall furnish indemnification against liens, costs, damages and
expenses, as Landlord may require. All alterations, additions, improvements and fixtures,
other than trade fixtures, which may be made or installed by either of the parties hereto upon
the Leased Premises and which in any manner are attached to the floors, walls or ceiling
shal~at the termination of the lease, become the property of Landlord, and shall remain upon
and be surrendered with the Leased Premises as a part thereot: without damage or injwy; any
floor covering affixed to the floor or track lighting affixed to the ceiling shall likewise
become the property ofLandlor~ all without compensation or credit to Tenant. All fIXtures
installed by Tenant shall be new or completely reconditioned.
(c) Tenant shall promptly pay all contractors and materialmen, so as to avoid
the possibility of a lien attaching to the Leased Premises, and should any lien be made or
file<L Tenant shall bond against or discharge the same within ten (10) days after written
request by Landlord. Nothing in this Lease contained shall be construed as a consent on
the part of the Landlord so as to subject the Landlord I s estate in the Leased Premises to
any lien or liability under the lien laws of the state in which the Leased Premises are
located.
(d) Tenant shall not erect or install any exterior window or door signs,
advertising media or window lettering or placards or other signs or install any interior
window or door signs, advertising media or window or door lettering or placards or other
signs without Landlord's prior written consent. Tenant shall not install any exterior light
or plumbing fixtures, shades or awnings, or make any exterior decoration or painting, or
build any fence, or make any changes to the store front without Landlord's prior written
consent. Use of roof is reserved to Landlord.
10. INDEMNITY. Tenant agrees to defend, indemnify and save Landlord
harmless against all claims, demands, damages, costs and expenses, including reasonable
attorneys I fees, arising from the conduct or management of the business conducted bywTenant or from any breach or default on the part of Tenant in the performance of any
covenant or agreement on the part of Tenant to be performed pursuant to the terms of this
Lease, or from any act or negligence of Tenant, its agents, contractors, servants,
employees, sublessees, concessionaires or licensees, in or about the Leased Premises or
7
1114
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HlJ. ~Tl1WE5f ElEVATIONS
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POOR .eeYc;N?
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<;torJ
I' I~#\JJ~ 15 S\t>~ ~ \], L~'
Signs And Billboards
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SS70E-SF
3' x 12'
Basic Logo Face with 3' x 6' Imprint Face
Accommodates one line of S" high or two lines of 6" high letters. Allows
for up to 12 letters and spaces in the S" high or up to 17 letters and
spaces per line in the 6" high size.
------
AMERICAN FAMILY
-..........-.....::....:....=- I
AUTO HOME BUSINESS HEAIIH LIFE" I
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b~~ ~;\L"',.,I.rv:.... ~Er-I(~
4'f7~ IOJ.~
SS70F-SF
3' x 14'
Basic Logo Face with 3' x S'.Imprint Face
Accommodates two lines of S" high or three lines of 6" high letters.
Allows for up to IS letters and spaces per line in the S" high or up to 21
letters and spaces per line in the 6" high size.
CD 6 L 0 c \~ ~ €"\f~ \I'~C\ 671
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oJ /\l~ A ctJ;1i NC-S6~ fJl..1':J"'<;
~ _-..;:. FL.l< ~ Ii mlXA.'" )~f> C--u
(j) BD-p.c ~ ~ WA!,.L I WAlTA(tL' u.~Ul\ll-
tz,/f1:itPIO :1"a ~lU~R..5c~,J7 S/6N,
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AMERICAN FAMILY I
_.~---.,. ::.....: ....=-
AUTO HOME BUSINESS HEALTH LIFE .,
SS70G-SF
3' x IS'
Basic Logo Face with 3' x 12' Imprint Face
Accommodates one line of 12" high and one line of S" high letters or two
lines of S" high letters. Allows for up to 17leHers and spaces per line in
the combination 12" and S" high and up to 26 letters and spaces per line
in the S" high size.
(
See section K for prices
See page H-4 for installation information
!I
HOW TO ORDER
Where is the order form?
There is no order form.
What do I send?
Just send a note with:
. the sign you want (such as SS70F-SF)
. imprint information (if the sign you order allows
for imprinting it will state the specifications below
the drawing)
. include your payment (see section K for prices)
Where do I send the order?
. Send payment and order to:
Purchasing Department
American Family Insurance
6000 American Parkway
Madison, WI 53783-0001
. Do not combine with Supply orders
Tell us where to ship your sign:
. Signs are shipped via freight so be sure to give us a
street address for delivery - not a PO Box.
H-3
RECEIPT
N2 29142
DATE /n/le:/qtr
CITY OF
PRIOR LAKE
16200 EAGLE CREEK AVE. S.E., PRIOR LAKE, MN 55372
Received of
t~(\hv\+- () i' 1-".If !\ 2 ~
whose address and/or legal description is
the sum of '-4"f' J'\h \ -t- .t5Q/'ne
for the purpose of \
~<V C;~../ r=i,,_IJY1JvC+ * q h -- I au
J
dollars
$ ao.~
...
Reference Invoice No.
/--'. /) {J .
C__ ;::{&V,..l _ I l . ,<, QAU4.2~
Rec~ipt Cle;k for the City of Prior Lake
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