HomeMy WebLinkAboutSign Permit 98-170 Copperfields
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 9f..- / 7D
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
~~F..
(NAME)
~Ht~ R..;[~V
4. SITE ADDRESS OR LOCATION OF SIGN
2. APPLICANT: (NAME)
1), Co
3. OWNER:
(ADDRESS)
-re
61)(0 Gt+7[. 9 5J
5. TYPE OF SIGN: 'EMPORARY(21 DAY MAXIMUM DISPLAY) PERMANENT(WALL/MARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business . .. 1l1uminated Signs*InstiJJltiontd Signs*Lake Service Signs*
Multiple ResUlentitd Ntuneplate Signs*On-Premise Directional Signs*Permanent Window Sign*Pol1llble Sign*Subdivision Identijiclltion Signs
6. SIGN DIMENSIONS
(square feet)
10. Estimated Value of Sign
(Height)
~M
7. TYPE OF CONSTRUCTION
Yl'1 'LTYt L ; ? LAS Tl c...
8. PROPOSED DISPLAY DATES (if applicable)
(Width)
(Depth)
11. Completion Date
(TG vvfPj
1.-z11O q~ - ) 2 2{ ~2'
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, an I construction will conform to all existing state and local laws and will proceed in accordallce
with submitted plans. I am aware that the City Pla,mrei' can re ke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to rm ded inspec .
/2-/7/93'
DATE'
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
<mpleted Application
_ Scale Drawing showing location of sign
_Plans and spe~s
~ermit Fee $ - (permit fee is set
at time ofapplication ccording to approved schedule)
This Application becomes your Sign ermit when approved.
By
Date { 2,... { t -4~
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 inance.
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signform.doc
(
the sum of
CITY OF PRIOR LAKE
RECEIPT # 33749
DATE: ~. IO{IE
.
dollars
~~ Wfr
Receipt Clerk for the City of Prior Lake
$ I~/~
BUILDING PERMIT #
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
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