HomeMy WebLinkAboutSign Permit 98-047 - GoldCare Vision clinic
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White - Applicant
Yellow - City
City of Prior Lake
APPLICA TION FOR SIGN PERMIT
Permit No. 9X -0"/7
Spaces numbered 1 thru 10 must be filled in before permit is issued
ty, e~nd sign where e9u.ired - / / C ;":' I
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2. APPLICANT: (NAME) (ADDRESS) /;2; a . . (PHONE)
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T>n to/- tUfllq\/ t.c:JdcIS~-?,7' A/~ U/ Pr~OcA? --
3. OWNER: (NAME) / (ADDRESS) / '1.'''' (PHONE)
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4. SITE ADDRESSOR LOCATION OF SIGN {/"/I hre (PHONE)
1. PARCEL NO. OF PROPERTY:
0)5 -00 1-/()7-0
5. TYPE OF TEMPORARY (21 DA Y MAXIMUM DISPLA l? PERMANENT (WALUMARQUEE/A WNING/FREESTANDlNG)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*IlIuminated Signs*Institutional Signs*Lake Service Signs *
Multiple Residential Nameplate Signs.On-Premise Directional Signs*Permanent Window Sign*Portable Sign*SubdivisionIdentijication Signs
6. SIGN DIMENSIONS
(square feet) (Height)
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7. TYPE OF CONSTRUCTION
We/cd
10. Estimated Value of Sign
(Width)
1&
(Depth)
II. Completion Date
SIGN PERMITS WILL NOT BE P OCESSED IF THEY ARE INCOMPLETE
8. PROPOSED DISPLAY DATES (if applicable)
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 perform needed inspections.
SJ~Ri{4~~ DAt~ / ~ 7' r
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mPleted Application
cale Drawing showing location of sign
==:::.Lflans and Specs ...... )
:=J2'Permit Fee $ :3;< ') V(Permit fee is set
at time of application according to approved schedule)
This Application beco es'y- ur Sig Permit when approved.
BY( . ._t~
City Planner or designee
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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 compl iance and allows construction to
commence.
Special Conditions Exis-hn,j !-r{t54( Wirddw Sir;pva mu~-{- be /C'f}J()Vfd
(llJ()()OJc({R~ 6f f1t)s S/Citl ,
I ij l.i N'Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
Date
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