HomeMy WebLinkAbout99-002 Sign Permit (banners)
City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. j1t:f -et:.:f1.
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining il building permit if necessary. - Ptl (0 RLA~
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2. PLICANT: (NAME) (ADDRESS) - E;4.6l141fJ
W6AJSln/fnl~ ~m55 18'7'5"'" ~2A .D{2. SUJtC: ~
3. OWNER: (NAME) (ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
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S. TYPE OFSIGN: TEMPORARY (21 DAYMAXIMUMDISPLAl? PERMANENT(WALI/MARQUEE/AWN1NGlFREESTANDING)
Btllloon* Btlnner*Buaineaa*Chtlngetlble Copy Signa*Conatruction Signa*Rluminated Signa*Inatitutiontll Signll*LtlU Service Signll*
Multiple' * -Premille Directiontll Signll*Permtlnent Window Sign*Porltlble Sign*Subdh1i11ion Identification Signa
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6. SIGN DIMENSIONS 10. Estimated Value ofSlgn$ I C)
(square feet) (Height) (Width) (Depth)
1. PARCEL I.D. OF PROPERTY:
yl 4(0' cV9'O~
(PHONE)
~S- / - L(~6 - 4''('02-
(PHONE)
0:,12.
4/<;1'0 ,... '7(a
(PHONE)
11. Completion Date ., '9
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7. TYPE OF CONSTRUCTION
~ - 2- /- (1 '2 - , 2- - 7' 7
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS Wll..L 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 erform needed inspections.
PROPERTY OWNER/AGENT
1-2~- 'f
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
-iL. Scale Drawing showing.location of sign _ ~ ~ 'ic....-<1
--!cplans and Specs- A/~;
~Permit Fee $ IS" (permit fee is set
at time of application according to approved schedule)
This Application b
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.m. - 10:00 a.m.
l:\handouts\signform.doc