HomeMy WebLinkAboutSign Permit 98-064
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?fL(hite - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 9 g - o~'-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:
01 S-- d&;l-C:OJ - D
2. APe ICANT: (NAME)
Pc/AiTy ,#f#1R~Lr
3. OWNER:~AME)
k- E !\fi lJ{:,€l11/fclIfIc-
4. SITE ADDRESS OR LOCATION OF SIGN
(ADDRESS)
~/f)5
(ADDRESS)
13 SE
(PHONE)
~1#-7)>&-O
(PHONE)
~/ 79&(.)
(PHONE)
t/ (0- 7'7tW
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A-5
Af3ol/~
5. TYPE OF SIGN: 'RARY(21 DAYMAXIMUMDISP l? PERMANENT(WALUMARQUEE/AWNINGIFREESTANDING)
Balloon * Banner*Business ange e opy Signs*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Pernument Window'Sign*Portable Sign*Subdivision Identification Signs
(Height)
3'
7. TYPE OF CONSTRUCTION
7?A 571 e. U;tl;tJ c;t:...
8. PROPOSED DISPLAY DATES (if applicable) I --- I
W ( -6 hv JUML (nO'
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE COMPLETE
6. SIGN DIMENSIONS
(square feet)
~rp
(Width)
/11/
(Depth)
Mr
10. ESti#ted Value of Sign
/00 ~ O()
11. "€oll!pletion Date C>""
".'5-If.,.-'1o
I hereby certify that I have furnished information on this application which is, to the est of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned pro , and that all construction w. nform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the C" R anner can revoke this perm. f< just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to peru n ded ~spe . s. )
~Y.~
SIG URE OF PROP TY OWNER/AGEN
.?tf-9S
DATE
FOR ADMINISTRATIVE USE
SUB~SSION REQUIREMENTS
~ompleted Application
_ Scale Drawing showing location of sign
~s and Specs ot)
------L.. Permit Fee $ I 5 (Permit fee is set
at time of application according to approved schedule)
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
417-4230 from 9:00 a.m. - 10:00 a.m.
"-"....,..""..."..,......,""'...O....c,""-".'"="".O..."''''v''''.EC_.~.,SECURITY FEATURES: MICRO PRINT BORDERS - COLORED BRICK PATTERN. WATERMAHK &. "-'.....MOVI'\! ~l MIl"' VI'\! MI:llt;n.;;lt; ,,;>......... ,."........"_
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 # 32441
DATE: ~!) I / q 8'
dollars
$
J 5"cJO
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
1,200.00
700.00
1,500.00
Total
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
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 32440
DATE: 5) J 1)'1 ~
-
dollars
$
/ CD (J:)
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)
SwrNJtr Pmt sw #
Other
1,200.00
700.00
1,500.00
Total
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
SwrNJtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrNJtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
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July 17, 1998
Mr. Dave Chromy
County Market
P.O. Box 720
Prior Lake, MN 55372
Dear Dave:
Enclosed is you retainer check for $100 for the temporary sign permit ending in June.
If you have any questions, give me a call. Thanks.
,
Q.D VlA1Lt
Connie Carlson
16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER