HomeMy WebLinkAboutSign Permit 98-100
e~. Applicant
Yellow. Cit\
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. q ~ -- )00
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:
~') -10 ~ -D'I)-O
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
Nord 'sf 5i N CD. 3/2- I.U a.te S'f g~3.-7z-91
3. OWNER: (NAME) ADDRESS) (PHONE)
/-I eo..!fh 5'1 sfeN 5 / feu fL !J,'co /1 e f
.; 4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
.! I fo 7 0 5 fTarn /c.- /; ,rJ -rra.; /
t
t
5. TYPE OF SIGN: EMPORARY(11 DAY MAXIMUM D1SPLAY) 'RMANENT(WALUMARQUEElAWNING/FREESTANDING)
Balloon" Banner.Business ange . minated Signs "Institutional Signs "Lake Service Signs"
Multiple Residential Nameplate Signs "On-Premise Directional Signs "Perl7Ulnent Window Sign "Portable Sign.Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
10. Estimated Value of Sign
(Width)
(Depth)
11. Completion Date
7. TYPE OF CONSTRUCTION
POST ~ P~ef 5;:')",
8. PROPOSED DISrL,~.Y DATES (ifapPliChle) I
% II '18 --:) ~ 2- g 't ~
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
thereo f may enter upon the property to pe~ 2e~d.e~ i~pec. tion/) 0 _ n
ffJ~ ~ 'g-I-'fB
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~Pleted Application
~cale Drawing showing location of sign
~ Plans and Specs .......~j')
JPermit Fee $ I S (Permit fee is set
at time of application according to approved schedule)
By
es yo r Sign lermit whe~ approved.
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c;SJ~f}Ji,"~
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. ~ ..
Sp~i,IC,"ditio", .i!-!::-7g r08 7 /1t1U{AJJ r~ ('WZ;:;!, . ('('II
~ U ,?rt b e. 1-
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. . 10:00 a.m.
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
LB.
RECEIPT# 32480
DATE: S/0C;y
--
dollars
$ /C;CO
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