HomeMy WebLinkAboutSign Permit 98-164
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City of Prior Lake
APPliCATION FOR SIGN PERMIT ..
PermitNo. qr~/L, f
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
(PHONE)
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(PHONE)
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5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANENT (WALI/MARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*Rluminated Signs*Institutional Signs*Ltzke Service Signs *
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
(ADDRESS)
8 Nil ~ ~ ell J ~
(ADDRESS
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1. PARCEL 1.0. OF PROPERTY:
~ IU OJ- p" J M.ta- ~L
(PHONE)
ICo?hc
6. SIGN DIMENSIONS
(square feet) (Height)
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7. TYPE OF CONSTRUCTION
10. Estimated Value of Sign
(Width)
(Depth)
11. Completion Date
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pplicable)
I hereby certify that I have furnished infonnation on this application which is, to the best ofrny 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 confonn to all existing state and loeallaws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this pennit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perfo eeded inspections.
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DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_~Ieted Application
_ Scale Drawing showing location of sign
_ PI8ft9 lIIui Specs
.Jr. Permit Fee $ ~ (permit fee is set
at time of application according to approved schedule)
This Application be
By
Date
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signforrn.doe
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for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
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RECEIPT # 33142
/lj/7/1r
DATE:
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dollars
$ tCOI)()
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
for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 33743
DATE: ///17/91
,
dollars
$
/5C>O
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)
SwrNJtr 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#
SwrNJtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrNJtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total