HomeMy WebLinkAboutSign Permit 98-063
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~~ ... 0 (,3
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued 1. PARCEL NO. OF PROPERTY:
(Please print or type, and sign where required
~ 2/;,PPLICANT: (NAME)
/UltJ IIANSoAJ5
/2.0 FIf\J/5Hf.~S
3. OWNER: (NAME)
!3fL11fJ ! !llJfJ5o,.)
(ADDRESS)
I tel/7 /11A/ tJ A-lI,<-.S e. .
f.L.
(ADDRESS)
20'19'0 AlJO/s or-J
?rlfof... u41! t. MtJ
4. SITE ADDRESS OR LOCATION OF SIGN
J (PI I '1
{:J r.
(PHONE)
'19 J--37 7 '/
(PHONE)
/YIIUrJ
AV~.. <;;;e
P PI ofL
LA /-L4..
6. SIGN DIMENSIONS
(square feet)
9(P'
(Width)
I~ I
(I)epth )
31'111
10. Estimated Value of Sign
$700, -
11. Completion Date
,,-- -/~
(Height)
?'
7. TYPE OF CONSTRUCTION
WOO&.
'It PROPOSED DISPLAY DATES (if applicable)
.
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 OfticiaIs or a designee
thereof may enter upon the property to perform needed inspectio s. .
5-/?l
DATE
/'
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~"",I"'d AppH,""oo
caIe Drawing showing location of sign
v fians and Specs, lJL",n
"2 Permit Fee $ ~ (permit fee is set
at time of application according to approved schedule)
By
your ign Permit when approved.
WW
City Planner or designee
5'f8/7f
,
T.his Application b
Date
This is to certify that the request in the above application and accompanying documents is in accor<\ance with)he 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 ~t1t &-;), An~ L1c:;hHn3 60 St,rn Jl1v'sr ~ ~r(){erl b'j ffruJ/1in'J.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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 #
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
1,200.00
700.00
1,500.00
EXPLANATION
75-905/919
BRAD HANSON'S PRO FINISHERS
16117 MAIN AVE. SE
PRIOR LAKE. MN 55372
(6121447-4400
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PRIOR LAKE STATE BANK
PRIOR LAKE, MN
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III 0 0 j g 5 . III I: 0 g . gO gO 5 51: . II. 0 j L. 2 2 III 2111
3951
GROSS
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DOLLARS
DISC.
5
DESCRIPTION
F.I.CA
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