HomeMy WebLinkAbout96-112 Sign Permit
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. {Jh- flu
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
2. A~LI.CANT: (NAMEfr) ~ (ADDRESS) /7. ( ,~ (}l~ONE)...J)-
Ynor ~tu. V(OV~'?{ 4-111 ~litL~~vvt )1. t/.L. 44o"'3'2-lJD
3. OW~ER: ~N.AME) . (ADDRESS) - C A -r- (PHONE) ,
1)1~~~tLYYI~ 6tj-;;3 ~(~ O~v-t~.IY. If.t/-1..Jt3{{
4. SITE ADDRESS ~ LOCATION OF SIGN (PHONE)
4111 V~o--Vv-r-)t. T7 L.
5. TYPE OF SIGN: TEMPORARY (21 DAYMAX1MUMDISPLA (WALUMARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*] 'nated Si Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent In ow Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
?).e.<..- tr.----t\-.
7. TYPE OF CONSTRUCTION
WDDD
8. PROPOSED DISPLAY DATES (if applicable)
10. Estimated Value of Sign
IT/{)
(Width)
(Depth)
11. Completion Date
/yS-f\'P
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished informati non 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 0 , and that all construc ion will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the an v. e thi ~ e or just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to peru n eded inspec , I
~ (d - Z.S-7~
SIG
DATE
FOR ADMINISTRATIVE USE
.
SUBMISSION REQUIREMENTS
vi' Completed Application
"7. Scale Drawing showing location of sign
_ Plans and Specs c>
_ Permit Fee $ ::;0 t) (permit fee is set
at time of application according to approved schedule)
Date
/0 ";).Cf ~'1 (p
This is to certify that the request in the above applicl!tion 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 9:00 a.m. - 10:00 a.m.
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RECEIPT
DATE I
CITY OF
PRIOR LAKE
16200 EAGLE CREEK AVE. S.E.. PRIOR LAKE. MN 55372
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Recei ved of ~ - (Y L~ 41o(L~
is
the sum of
dolJars
$~<:;,{fi)
Reference
C
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Receipt Clerk for t e City of Prior Lake
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