HomeMy WebLinkAboutSign Permit 98-083
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. 1t$-oi3
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
.33
, 9400 '30
(PHONE)
85"3- 0'-''-
(PHONE)
474- 5"'24"3
(PHONE)
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2. APPLICANT:
S=V-~ l+
3. OWNER:
(ADDRESS)
c.. COl.-p. I 4-t G. "1-
(ADDRESS)
t:?"......""""...,.... Ave.............
(NAME)
tv10'-'
(NAME)
13.e. 13 1.)\f..l,.:::K be+~)< ec..t,,-;c.\..
4. SITE ADDRESS OR LOCATION OF SIGN
~l" .l.
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5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAy) 'RMA ~ 'ARQUEE/AWNlNG/FREESTANDING}
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*ffluminated Signs*Institutional Signs*Lake Service Signs *
Multiple Residentilll Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
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Av<--v...
6. SIGN DIMENSIONS
(square feet)rt
~,.~~ c,u IS/I
7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
(Height)
(Width)
17 I
(Depth)
-:3 II
10. Estimated Value of Sign
-$" 82..00
11. Completion Date
./ q8
L c..-bf..u- ~,,"E. h..~ $i"'t""'
N/A
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 Officials or a designee
thereof may enter upon the property to perform needed inspections.
~~
OF PROPERTY OWNER/AGENT
0~: e/CfS
D TE .
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application
. .. V..8cale Drawing showing location of sign
~s and Specs ,,", er)
Permit Fee $ 3v (Permit fee is set
at time of application according to approved schedule)
By
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 compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
l:\handouts\signform.doc
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01/19/:994 07:42 6124475200
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PAGE 02
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 32461
DATE: ft?/ aa /90
dollars
-
--
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
$
30 0(')
BUILDING PERMIT #
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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BURDICK OFFICE BLDG. t3
COMMERCE AVE AT HGHY +13
PRIOR LAKE, MINNESOTA
DATE:
REVISIONS:
BtEK-NOVAK DESIGN ASSOCIATES
2935 EVE~EST LANE N.!. PLYMOUTH, loiN. 55447
TElEPHONE (612) 476-lnu - FAX (612) 404-9317
14750 SOUTH ROBERT TRAIL, ROSEMOUNTI. MN. 55068
TELEPHONE (612) 423-2254 - FAX (6ll) 423-2255