HomeMy WebLinkAboutsign permit 98-029
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 78-()f!i
DIRECTIONS: 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:
.;?5 - ~43-0t>S-0
2. APPLICANT: (NAME)
l?ulz.- / Llev
3. OWNER: (NAME) (ADDRESS)
2J~~otd!- /fp{l f'S' ~ ;j~.S
4. SITE ADDRESS OR LOCATION OF SIGN
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5. TYPE OF SIGN: TEMPORARY 21 DAYMAXIMUMDIiPI~Y) PERMANENT (WALL/MARQUEE/A WNINGIFREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction 19ns lluminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
(ADDRESS)
/S~9 / ~/I~e r;'y~ SF
(PHONE)
~Y;Z 222 2
(PHONE)
(PHONE)
/er/;rs
(Height)
&/1
7. TYPE OF CONSTRUCTION
/1"
(Width)
(Depth)
10. ES$'~lue of Sign
11. Completion Date
6. SIGN DIMENSIONS
(square feet)
I
8. PROPOSED DISPLAY DATES (if applicable) 3 - c::< _ CJ ~ -.:::.:> 3 - ;;;; 3 - 9' 8'
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on 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 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 Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to orm neede' ections
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DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~omPleted Application"
_ Scale Drawing showing location of sign - f~
,~s and Specs- ~f0
Permit Fee $ J ~ '-^" (permit fee is set ,- (U.nR ~
at time of application according to approved schedule) - .. U tfY'
By
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.
Special Conditions .
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
RECEIPT# 31950
DATE: 3/d-.)72f
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dollars
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$
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BUILDING PERMIT #
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
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
1,200.00 Swr/Wtr Connection Fee
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 32401
DATE: '3/,}../'ig
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--- dollars
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eceipt Clerk for the City of Prior Lake
BUILDING PERMIT #
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
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
1,200.00 Swr/Wtr Connection Fee