HomeMy WebLinkAbout96-117 Sign Permit
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City of Prior Lake
APPLlCA liON FOR SIGN PE RMll
White. Applicant
Yellow. City
Permit No. (}1" / j 7
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before 'permit is issued /1. PARCEL' OF SIGN
(Please print or type and sisn at bottom).
2. APP.4CANT (NAME) / (AD[)RESS) (PHONE)
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3. OWNER (NAME) (ADDRESS) .- (PHONE)
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4. :I~~!,~~~R~:)OF SIGNi/ 'fL~/ II -~., 9. ZONING
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5. TYPE OF SIGN TEMPORAR!' (30, DAY MAXIMUM DISPLAY) PERMANENT (WALL/MARQUEE/ AWNING/ FREESTANDING J
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Banner Church SIgn ~~St8=~/ Port8ble PubHc Service Reel Est8te Street Benner WIllI Other
6. SIGN DIMENSIONS 10. Estimated Value of Sisn
(Square Feet) (Heisht) (Width) (Dept,h) .- '
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7. Type of Construction "
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8. Proposed D1spl8y Dates - .' ; ,
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SIGN PERMITS WLL NOT BE PROCESS PROCESSED F NCOMPLETE
I hereby certify that I have furnished information on this application which is to the best of my knowledse
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 locall~ws and will proceed in accordance with
submitted plans. I am aware that the City Planner can revoke this permit for just cause. Furthermore, I
hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature of Applicant or Property Owner Date
FOR ADMINISTRATIVE USE
SUBM~ION REQUIREMENTS FEE SCHEDULE
~ Completed Application 1. Forty (40) square feet or less in area: $25.00
_ Scale Drawins 2. Greater than forty (40) square feet in area: $.2S per
_ Plans and Specs additional square foot.
4Permit Fee $ !c~ /)() 3. Signs which need a conditional use permit must pay
This Application becomes your Sign Permit the established sign permit fee plus such additional fee
when approved A as may be required for the conditional use permit.
! '/' '0 \ I I 4. No fee shall be required for siSn exempted by Sec.
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'if _ '1' ), I/L"'\ tion 5.7.5.
CitV Plan~er ' II - ,~ -~ (p 5. Fees may be waived by the City Council for signs
I (- containing a relisious, civic, school or public interest
Date subject. (ORD.84oOI)
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence.
Special Conditions ; I v) 1 {)," f. ."...... . .' 'C' i,v ()(/") ",.' ,'l)"', 'f- ' L,r-<7,
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24 Hour notice for all inspections
447.4230 from 9:00 a.m. . 10:00 a.m.
RECEIPT
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CITY OF
PRIOR LAKE
16200 EAGLE CREEK AVE. S,E., PRIOR LAKE, MN 55372
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Recei ved of . ~_.. . (Y L~ ~tCD{1~
whose address and/or legal description is
the sum of
$11<),(11)
dollars
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Prior Lake