HomeMy WebLinkAboutSign Permit 98-050
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City of Prior Lake
AJ.>. PLICATION FOR SIGN PERMI}'"
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White - Applicant
Yellow - City
Permit No. C)?-OSD
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:
l). 9.3
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
~J(/~ $~~tL-lb~l) ~,vfr ~ tPI' b~t?J~ij'f7'-1L.~~
3. OWNER: (NAME) . (ADDaESS) , ""J (PHONE) i
JPH-N ~~/Llt,t")1 ,l)wJf'fr T;.., ~V6~~' i?~ ~y?-~~~
4. SITE ADDRESS OR LOCATION OF SIGN ' (PHONE)
//";0/ 1'-tv1V~ T~ . fVf/l!..n.+-~~7 ~~~ C?~ ~~..
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAJ? PERMANENT (WALUMARQUEElA WNINGIFREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*/lluminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet)
(Height)
I
(Width)
10. Estim~ Value of Sign
py~~
11. Completion Date
'/5"
8;
7. YP OF CONSTRUCTION
() . ~- . \ -1
~4 t,.(-"vvd /,ft-JA/,e.d
8. PROPo'sED DISPY'; DATES (if applicable)
~IGN~~gWILL 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 j t cause. Furthermore, I hereby agree that City Officials or a designee
th'roof "",y ~"" "PO" ili, pm",,,, to '" _d,d ;mp ",. ~7/ '7 /!if
Dlf
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mPleted Application
~)08a1e Drawing showing location of sign
~~ and Specs ~ do
~e_rmit Fee $ ~ (permit fee is set
at time of application according to approved schedule)
rmit when approved.
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.
for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
c:s~
RECEIPT # 32425
DATE: i-f7,/1J
dollars
$
?xJ~
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
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
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