HomeMy WebLinkAboutSign Permit 98-091 & 092
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. qa .-()e:; I
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
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1. PARCEL I.D. OF PROPERTY:
'S -- CO I -0 ?~- )
J3 ..(p~~ -6h'l~,
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(PHONEJ 'l/
3"'7G- q-,\.I7
Y'Aji'p~ /J71u ,n'-liJ3
(PHONE)
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2. APPLICANT: (NAME) (A})DRESS)
_ . li /J'JJO~-c f'p,..'""-07~i>I\f)tJz..
~ r rr:::J?3n\Ll~ -;
3. OWNERltdLl ~~~ (ADDRESS)
,.511Y1I'JO/ l)'7NNJ~ )N VU7mS;$S.
4. SITE ADDRESS OR LOCATION OF SIGN
I,.J I1v~
p.......e I If '-0 1:6 ,('Pe~-r
~ r'7- '.<3..
z,2J
5. TYPE OF SIGN: TEMPORARY (21 DAY MAX1MUlr/ DISPLAY) PERMAN. 'ARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Const1'uction Signs*mumma ns n u onal Signs*Lake Service Signs *
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
(Width)
9
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~ilJ
6. SIGN DIMENSIONS
(square feet) (Height)
7. TYPE OF CONSTRUCTION
PLt.r~
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this 't for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to erform nee d inspections / I
{,119/1 t3
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~Ieted Application
Scale Drawing showing location of sign - lJ>l ~~
v' Plans and Specs.- ~ .$':"~~ ct:LsCrI'fhv.
~Permit Fee $ '3,;1 (Permit fee is set
at time of application according to approved schedule)
By
Date
City Planner or designee
I ) j() /'11'
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.
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FROM: M.W.PROMTIONRL SPECIRLITIES
PHONE NO. : 612 447 6646
Jul. 07 1998 11: 10RM P1
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MIDWEST PROMOTIONAL SPECIALTIES
5153 Hope Street SE, Prior Lake, MN 55372
112.447-6146
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uComminsd to Quality Service and Va/us-
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. qJ -r'{1_
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (NAME)
0i m H\) ..e.Yh 'X i elL
3. OWNER: (NAME) (ADDRESS)
~n15 '~.s
4. SITE ADDRESS OR LOCATION OF SIGN
"1\ AvR.. S, b. /f'~.r 1A c..
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANE RQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*Dluminated Signs onal Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign *Portable Sign *Subdivision Identification Signs
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
(ADDRESS)
S-1)"3 ~
s.~ SE
J -a J l{ ~ It fJClu
#1/ / s
6. SIGN DIMENSIONS
(square feet) (Height)
~O.o d.Y'
7. TYPE OF CONSTRUCTION
WDod
8. PROPOSED DISPLAY DATES (if applicable)
10. Estimated Value of Sign
(Width)
~I
(Depth)
11. Completion Date 8- 1 -1
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
(PHONE)
'-l L/ 7 -&Jv<-l (p
(PHONE)
:3 "7 &7-s</03
(PHONE)
L{ '-t 7-{P~lflo
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 . conform to all existing state and local laws and wiIl proceed in accordance
with submitted plans, I am aware that e City Planner can revoke this 't or just cause. Furthermore, I ereb agree that City Officials or a designee
thereof may enter upon the prop to p 0 n ed inspections.
L
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application
. Scale Drawing showing location of sign - On ,fuel:< c! <:
---LPlans and Specs _ ~ WI'l riu-- c.l-iSLn}oh ~
_ Permit Fee $ ~=? D (permit fee is set
at time of application according to approved schedule)
Permit when approved.
By
na.A..J
City lanner or designee
'1-/J-78
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 docum.ent, when ~~~?~Y.,_~._..~. City.. P~ designee con~titutes compliance with the Sign Ordinance.
Special Conditions ~... .~~ (~.
24 Hour Notice for AIl Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
l:\handouts\signform.doc
,_.".._.,.~_.., '<. ~,"', ._..~."....-=-'.....,,_,,__ .~ c.~_. .r--_.""'..... '.~ -'.". _..--.-~,....,
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
Received of
the sum of
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f-(' .
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-t-'--r!~/,1(:'0 ./'{ G_~_:'-___
. ft !\I
* '.---/ I t~ .
dollars
for the purpose of
\.....
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RECEIPT# 32476
DATE: ~ Ir:+l..f I QX
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Receipt Clerk for the City of Prior Lake
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)
SwrlWtr Pmt sw #
Other
Total
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check :=ee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
SwrlWtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrlWtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total