HomeMy WebLinkAboutSign Permit 98-166 & 167 wall
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 58 -}lPv
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (NAME)
Cree..h>e-- ~~ !te-s
3. OWNER: (N
(ADDRESS) MGt~
/6' 76'0 .lO"-/1~~
(ADDRESS)
~e~ ~~/I
OR LOCATION OF SIGN
TA/I
y;,""cr (
6. SIGN DIMENSIONS
(square feet)
(Height)
(Depth)
I II
'8
1 O. Estimated Value of SiID'j 7.
11. Completion Date
l~f/~r5 -- "c{A--1-
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 neede inspections.
1/23/7~
ATE
FOR ADMINISTRATIVE USE___._,
-----..;- r SUBMISSION REQUIREMENTS
['ffi). :ZLG:Z1t\iJ~~LL i:I\ <,:::: ==:-=-= '",,"00 of_..
\\ ',. j '\' 3 \qa8 \:: - Plans and Specs oel
\ ,( NO\] 7- ' ,/ ,.1 : ; -p'"' Permit Fee $ ~o (permit fee is set
\ \ \, \ ...---iJ \ "timo of ",''''.00 __ to _ """"""oJ
~App6..tlonbec
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 ~ c:yg -D~O ~ ..e,.,vt\'f'C. b\dO' 'Si ~'~.
24 Hour Notice for AII Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signform.doc
City of Prior Lake
APPLICATION FOR SIGN PERMIT
pJt1
Permit No. q/8 ./ J (p 7
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
2. APPLICANT: (NAME)
c;..~~. ~ e-. Cyl e-c;
3. OWNER: (NAME)
:7;;~^ 5~(I4I(tr - /65/1
4. SITE ADDRESS OR LOCATION OF SIGN
J;e.r~(
(ADDRESS)
/~ 76'0 ?Cn;;.,,, 41/ ~c- 5(;
(ADDRESS)
.h/\4L TriA. < .- (
1. PARCEL I.D. OF PROPERTY:
JS~OJ.- 'f1-
(PHONE)
yV/-5dY~
(PHONE)
r;k/7- 5SJ8
(PHONE)
)-b'5
',--_ J _
~5// ~
5. TYPE OF SIG~EMPORARY (21 DA.Y MAXIMUM DISPLAYJ PERMANENT QUEElA.WNlNG/FREESTANDING)
Balloo,,* Ba""8r~Clum,eable Copy SI,,,,.Co,,,tructio,, Slg",. ",titutlo"al Slg",*LaU Service Slglll.
Multiple Ra/de"titIl Namepl4U SI,,,,*O,,-Premue DirectiolUll Si,,,,*Perma,,e,,t Window Si,,,*Portable Slg"*Subdivisio,, lde"tljlctltio" Slg",
6. SIGN DIMENSIONS
(square feet)
10. Estimated Value or Sign
..,e
----
(Height)
'c2... Y ~
7. TYPE OF CONSTRUCTION
AJ./ h4/M~ ~k /kJ-,c-
8. PROPOSED DISPLAY DATES (if applicable)
(Width)
g,J
(Depth)
6/~
;::J1r'~~ - L/Ic..~,h-~
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 ofmy 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 ~orm need~ons. __
~~c/
SIGNATURE OF PROPERTY OWNER/AGENT
(r~/f~
DTE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
, NOV 2 3 1998
.'. ...\'
iJuL
[
; l'
\ \ i
, ! ~ I
-k:::'Completed Application
l,.;- Scale Drawing showing location of sign
V-Plans and Specs _
~Permit Fee $ 30 (permit fee is set
at time of application according to approved schedule)
'~ APPlica:" beeomes ,::J;::;:j when approved.
City Planner or designee
IJ/tJc1I'1P
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 ~ q 8 ...Cst> fpl ~r(.. hJ,\C\l~~ CSI)'n"'-lL
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
l:\handouts\signform.doc
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
RECEIPT # 33746
DATE:~
-------
----------- dollars
$
f#o()cJ
,.
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
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
Total
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, 'to .
CREATIVE GRAPHICS ;;=;~THE~ROF1HI8~~_MIC:-:--~---
.. ,16760 Toronto Ave., SE i ' :; KE
Poor Lake, Minnesota 55372 : 1 ,)
Phone (612) 447-5044 ,; I: '. , ,
P~ THE' .,' ., ....' i i': ',,:!( ,,;
?"":OF ~.. ~ ,~ cC. r~.~;"i..'\..~{;..~.! ,
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75-9051919
4550
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PRIOR LAKE STATE BANK
, PRIOR LAKE, MN 55372
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"'001,550" ~f.. ~,.:?!!t~ ~
THIS DllCUMINT INCWoEa . ,
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AUTHORIZED SIGNATURE
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