HomeMy WebLinkAboutSign Permit 98-068
05/15/98 FRI 14:52 FAX 6124474245
CITY OF PRIOR LAKE
141 002
City of Prior Lake
APPLICATION FOR SIGN PERMIT
f~
Permit No. Cf'S ~8
DIRECTIONS: One cornpletedapplicatioD per sign is required. Applicant is
responsible for obt:ain.iDg II buildingpemrit ifnecessary.
2. APPLICANT: (NAME)
frfDV' ~ f.lL Btfpf;.sf
3. OWNER: (NAME)
..sA A k
4. SUE ADDRESS OR LOCATION OF SIGN
P. L. 8~. CL. !J-6q~ (''''(Jd,.:J ,(J,'V(~ RJ.
5. TYPE OF SIGN: TEM1'OltART(21 DAY MAJaMUM IJmuY) 'dNEN1' QUEE/.4WNIN
BIIIIHII. B"lIl1u.611111a~.Ch.,.,.lIble Copy .r"lIS.CD8ISUfI*I1 Sil!l!$.lI: .' mI 1".",6,,11111 SI,II.-LIIltc StrrftC4 '6
MIlltip/4 R..lIuu"tilll NtIIMJIItII4 Si1:rl,.O,...Pre"IIst. DivecdMsI Si~tu .IJI8....._ff.~ Wimtl>>t' Sigll.P,mdle S.II.SIlIHlM~iDlllt16I1tiflC4ti"" SlgII,
(ADDRESS)
CALI V(;" 5 61'0 Cv~,'f R.V-l". Pel
(ADDRESS)
1. PARCEL I.D. OF PROPERTY:
J SCj (ND ;J LfO
(PIIONE)
o/L/7-;28~~
(PHONE)
Sq Jk fl.
(PHONE)
S'i ""(.
6. SIGN DIMENSIONS
(square feet)
.J>J... 41
7. TYPE OF CONSTRUCTION
t()t9~ V- ~;11 f -
8. PROPOSED DISPLAY DATES (if applicable) :S-J9-7't3 -b '10% d Gift It-f.,;'"
SIGN PERMITS WILL NOT BE PROCESSED D' THEY ARE INCO~LETE
(Height)
(Width)
eJ'
(Depth)
Y I,
;,2
10. E.ltlmaeod v..u~ 01 Sip ~ ,;; !:J-~
11. Completion Dace S - 3 - 9&
I hereby certifY thaI I MVe furnished inform:l.bon on this application which is, to the best of my knowledge:, trUe and comet. I also certify chat 1 am the owner
or authorized agent for the: above-mentioned prol'tt1Y, and that all collStluction win conform to all elUslins state and local laws and will proceed in aCl:on:Iancr:
wilh submiaecl plans. 1 am IWlIJ"e that the City Planner"" rcvolce this permit for just l:ausc:. Funhc:nnon:, I hereby agTee that City Officials or a designee
thereof may enter upon th~ propen)' to 0 needed ill . 05.
~ ,
R1AGENT
,s-rls-tpg
DA.TE
FOR ADMINISTRATIVE USE
SUjMISSION REQUIREMENTS
TAwi-
Ie Drawing showing location of sign
and Spec:.s--7 00
_ mnit Fee S .:iO (permit fce is set
at time:: of application according to approved schedule)
This Application
By
Datc
This is to certifY that the rcque.st in the abov~ appliation and accompanyins documents is in accordance with the City Sign Ordinance :and may proc:=d iL5
requested. Thisdocl.Iment, whim sisnccl by the City Planner or designee constitules compliance with thc Sign Ordinance.
Special Conditions
24 Hour Nolice for A.IIJnspections
447-4230 from 9:00 a.m. - 10~OO..m.
I:\handouts\signform.doc
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CITY OF PRIOR LAKE
RECEIPT # 32442
DATE: 5/Jg}qg
~ dollars
~g~
eceipt Clerk for the City of Prior Lake
$
SOcP
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
_~,5/15/98 FRI 14: 52 FAX 6124474245
CITY OF PRIOR LAKE
I4J 001
FAX COVER SHEET
CITY OF PRIOR LAKE
16200 Eagle Creek Avenue S.c.
Prior Lake, Minnesota 55372
(612) 447-4230 - Telephone (612) 447-4245 - Fax
FAX#:
;;2:5V
q45-871'-/
DATE: ~tl)/!j'i
TO: Y-Cl/1d~ e~ c;
COMPANY: Q c.. _ ~ ; e;s
FROM: '") pYJM. --r;, I/a..r
SUBJECT: $L~ fb-(J1d f#F-
Message: .~ S~-&sr Si~ iLJ
TIME:
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Number of pages sent including this page: d
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