HomeMy WebLinkAboutSign Permit 98-157
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. 0'3 .... J '07
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
~S-Gj
(p-oo ~-D
(PHONE)
2. APPLICANT: (NAME)
RaJ Rv.sE F/t/YJS1S
3. OWNER: (NAME)
IIECJ-/iEIC Gc<;fe.wA' LIIYJ;;p fly 4/'lrShl
4. SITE ADDRESS OR LO ATION OF SIGN
SAme?" Appy~ 5.s ON B/lx/.
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANENT (WALLlMARQUEE/AWNINGIFREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*muminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
(ADDRESS)
JS27 S ;"-rAllt//N
(ADDRESS)
1i-!.. 6''C ::tr 10 0
(PHONE)
o 6 A- (65).) Jj3'o-o/63
f?tJ..PtJx I 7 8/1 iPr/,Atvsso. =?
(PHONE)
6. SIGN DIMENSIONS
(square feet)
I
(Width)
'/-, r:- f.
(Depth)
2 II
10. Estimated Value of Sign 1:1:<5-
11. Completion Date
//~a
(Height)
.:< I=t'
7. TYPE OF CONSTRUCTION
1J'}tJ/J)E.P Pld,51!(., LeITe Y5
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' lanner revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to Jl orm n ded' ections.
//,:?/;~
DA /
FOR ADMINISTRATIVE USE
.:..,,~ \.
3 \998
SUBMISSION REQUIREMENTS
vtompleted Application
~~cale Drawing showing location of sign
---L'Plans and Specs2 j 0 ,)
_ Permit Fee $.Ji) (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.In. - 10:00 a.m.
l:\handouts\signform.doc
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_.__ _________ __.__ ___________ __h_____ ____________~
$
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT# 33744
DATE: 11-11-'l~
Received of
the sum of
for the purpose of
dollars
03
I
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 mclt
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
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 It
Other
Total
DATE
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$60 N~
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DOLLARS llIa-= I
HECHTER GATEWAY
LIMITED PARTNERSHIP
P.O. BOX 167 PH. 430-0163
BAYPORT, MN 55003
75-511/919
217869
3264
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