HomeMy WebLinkAboutSign Permit 98-073
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. 11-073
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DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required /i.:
1. PARj;EL NO. OF P.~OPEJ{TY:
9 ":)...q 002 .. O'1CJ-/
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2. APPLICANT: (NAME) (ADDRESS) (PHONE) {Pld-.
pt?J()R..- (fi/Cl= 5r/1 It;. /Y;tI~ - /U 77 luLUTIIIlI/~.:5~ c!-t/7- :LIol
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
/010'77 !/e 5~ L/t/7- 0
5. ~~~~~~~ess*Changeable cop:t:~~:~'tn~~S;!:s~:lu;':=d~::;f::~'::::S~~i::;:~f::=~TANDlNG)
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet)
d JlJ
(Width)
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(Depth)
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(Height)
8'
7. TYPE OF CONSTRUCTION
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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 authoriz:ed 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 is permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to pe rm neede 'nspections.
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b-5-9~
DATE
FOR ADMINISTRATIVE USE
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S~ISSION REQUIREMENTS
~ompleted A,'pplication .... ..i ,
---CY/\SCaleDrawlng shOWing location of sign;
:=3Z)>lans and Specs I -c-V
--1L. Permit Fee $ ) (permit fee is set
at time of application according to approved schedule)
Date
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This is to certify that the request [nthe 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
5/t8l' ~ &e- ~d 6~ I.Pl5j1J.
-/Y1;O ~osi1 t~l~ - I d~ ~
. ... 24 Hour Noti for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
Received of
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 32450
DATE: 4?/5/9J
-- dollars
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$
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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
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
Total
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