HomeMy WebLinkAboutSign Permit 98-008 - temp
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'fJ!::j - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. Cj/?-{) ~
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1.~S~O;}4~~!b
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
~ffib ~V20M 8q~/Y3(~
3. OWNER: (NAME) (ADDRESS) (PHONE)
S\:?~\)LS. Lu\~R.AN ~U(2.CH ~ S~N(x)L
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
_ SE _C?~ Lf\ Y
5. TYPE OF SIGN: TEMPORARY DAYMAXIMUMDISPLAY) PERMANENT(WALL/MARQUEElAWNINGIFREESTANDING)
Balloon * Banner*Business angeable Copy Signs*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Pe~manent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(Squar::r~
7. TYPE OF CONSTRUCTION
10. Estimated Value of Sign
(Height)
G\
(Width)
(Depth)
---
11. Completion Date
8. PROPOSED DISPLAY DATE
~
SIGN PERM
~tJ<.
I hereby certify that I have furnished information on this application t~hich 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 PI can revoke thi permit for just cause. Furthermore, I hereby agree that City Officials or a designee
lli'~of rrmy rn'" _PO' lli, prop,,", to " """ "" tio . I J
\ ::;)8 C1 <;;
DATE I
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_ ~I"'d Appliootioo
e Drawing showing location of sign
-:;:7'""..PGns and Specs -a..)
::=JZ Permit Fee $ I') - (Permit fee is set
at time of application according to approved schedule)
By
_u~when approved.
City Planner or designee
1/dJ)/qg
, ,
This Application b
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.
specialconditions~ ~ be ~C/C- J{) '~ ~~
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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CITY OF PRIOR LAKE
RECEIPT# 31922
DATE: J~/7j
(~~
----
~ dollars
$
JaY
,
" ". /7'" .j A ~
" ~V/V'-
Receipt Clerk for the City of Prior Lake
BUILDING PERMIT #
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
Swr/Wtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swr/Wtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
Swr/Wtr Pmt sw #
Other
Total
BRAD L. OR JULIE M. STROM
l"'r <T"uW ~~_ J!I! 1'8 t
r... _.11__ 1812
1933 SOUTH CROSS DRIVE, W., UNIT 2008
BURNSVILLE, MN 55306
3561
$,IOU-OU
s m ~~:=
.. N'~'" .,,'M'.""''"' NA ~
II~.. Cottage Grove Office
NOIIWESI'BANKS 7200 East Pt. Dqu.glas Road South 8... .
II... Cottage Grove. ~~--\5016 . ~ __ _ ~
"",0 ~0' ~~,,:O:lSb~
fINEL.Nf:
Received of
the sum of-~
for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 31921
DATE:
r jd(/q?
~
dollars
$
L~OO
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
Swr/Wtr Pmt sw #
Other
Total
..~::
=WE5r'BANKS
::~::
MEMO
.~-
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
Swr/Wtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swr/Wtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
FILE COpy
March 2, 1998
Brad Strom
1933 Southcross Drive Unit 2008
Burnsville, MN 55306
Dear Brad,
Enclosed is your $100.00 check for sign deposit for preschool portable sign.
Please call me if you have any questions.
Sincerely,
fl1;J11i( )(1/0-/\.-/
LJ:hl Tovar
Planner
BRAD L. OR JULIE M. STROM
..1 . ..:Ii III II en 11
-.. I I _n _ ,L
1933 SOUTHCROSS DRIVE, W., UNIT 2008
BURNSVILLE, MN 55306
.!Z=l921
910
0148668 '047
DATE \
$. roo-OO
s m =00:::
...... Norwest Bank Minnesota, N.A.
..... Cottage Grove Office
NOII=:BANKS 7200 East Pt. Dquglas Road South
::~ Cottage Grove. ~N~5016
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