HomeMy WebLinkAboutSign Permit 96-103 Ward & Whitemore wall
White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 96 "'/03
DIRECTIONS: Spaces nllffibered lthru 10 must be filled in before perinit is issued
(please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
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2. APPLICANT: (NAME) (ADDRESS)
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3. OWNER: (NAME) (ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
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(PHONE)
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(PHONE)
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5:tvPE QFSIGN :'TEMPlliiARY (21DA"r MAXfMtiJl.iDSPU'Yr
Balloon" Banner "Business "Changeable Copy Signs"Construction Signs"ll minated Signs"lnstitutionaISigns"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) ,
a 'J. 'l}5( /8'1/
7. TYPE OF CONSTRUCTION
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8. PROPOSED:l)ISPLAY DATES (ifapp1icable)
(Width)
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(Depth)
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10. . ~~ed Value of Sign
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n. Completion Date
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
FOR ADMINISTRATIVE
DATE
I hereby certify that I have furnished information on this application whic s, 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 con ction will conform to all existing state and local laws and will proceed in accordance .
with submitted plan~..I am aware that the City P er can revok \his pe . or just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may e~ter upon the property to perfo ne ed inspectio .
SUBMISSION REQUIREMENTS
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L Compl~t~ Application
:;;,SCale Drawing showing location of sign
.,Ians and Specs d:>.
2'Permit Fee $ J:lJ ~ (permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
./
By
j City Planner or designee
Date~
This is to certify that the request in the above application and lIccompanying documents is in lICcOrdance with the City Sign Ordinance and ll1ay.proceedas;
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 AIl Inspections
4474230 from 9:00 a.m. - 10:00 a.m.
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RECEIPT
N2 29148
DATE \O{llO[t1CtJ
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CITY OF
PRIOR LAKE
16200 EAGLE CREEK AVE. S.E., PRIOR LAKE, MN 55372
Rece i ved of ])1'D1 ~ Sir ,~,<^ ,('p'J' < <+- f'iLcO'
whose address and/or legal descrtption is
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Reference Invoice No.
$ ;2trP_
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". __2/("iyv-L- ~~. i<:- CL;~~":::Jj . \....,
Receipt Clerk for the City of Prior Lake
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