HomeMy WebLinkAboutSign Permit 99-006 Wensmann
City of Prior Lake
APPLICATION FOR SIGN PERMIT
~
Permit No. j1tf - 00 (p
DIRECTIONS: One completed application per sign is required. Applicant is 1. P~CEL lj. ~F PROPERTY:
responsible for obtainin~ building permit ifnecessary. / ~P,,(oR.LA~ 5- 5 - 6~)"-D
-, ,.,1~AJ..5I"1AMI ......A.;\ c-c ~ '1/(:; """'7t..E/tl a~'E '5"1 410' LI'~o~
2. APPLICANT: (NAME) (ADDRESS) - ~1fJ (PHONE)
WG1JS/11/fn/nJ ~m55 /8rS- ~2A ~ S(j)"TE ~ ~~/ - qtJ~ - 4'i"02..
3. OWNER: (NAME) (ADDRESS) (PHONE)
3 '1IR 5f?2IIl)~I"~ c t ~(.l.- E- G/2. 4/ <;;to 97(0
4. SITE ADDRESS OR LOC TI N OF SIGN (PHONE)
5r;;r ;-=J!l rn 6;<S: PERMANENT (W ALLlMARQUEElA.WNlNG/FREESTANDING)
5. TYPE 0 SIGN: TEMPORARY (21 DA.Y MAXIMUM DISPLAY) Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*mllmInated Signs*Institlldonal Signs*Lake Service Signs*
MIIltip~IJ"-"'~f ~j"s.t<r'. Wgnf*nn-Premise Directional Signs*Permanent Wmdow Sign*Portable Sign*SIIbdivision IdendfiClltion Signs
~~.~~ ".
6. SIGN DIMENSIONS 10. EsdmatedValueoCSlgn.Jt/CJ
(square feet) (Height) (Width) (Depth)
11. Compledon Date ~ '7
"2.-/~-
7. TYPE OF CONSTRUCTION
;< - / I.p 7'1 - 3 "- ;:( - 7'7
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 Imowledge, 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 pemrit for just cause. Furthermore, I hereby agree that City Officials or a designee
""""'~Ym,",_."_~ C}- J ~ - '7
DATE
FOR ADMINISTRATIVE USE PROPERTY OWNER/AGENT
SUBMISSION REQUIREMENTS
~ompleted Application FJ.c.~ 'i"...,d
-l.L Scale Drawing shOwin~ocation of sign _ ~
~Ians and Specs-N s;
~Pennit Fee S IS (pennit fee is set
at time of application according to approved schedule)
This APPUca::. 7)'ZIf~ when approv~
City Planner or designee
Date4Id/qC;
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 /lJAI.LA..-{.J"Cf..l Db q9~ 66~
24 Hour Notice for All Inspections -
447-4230 from 9:00 a.m. -10:00 a.m.
l:\handouts\signform.doc
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE. MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 34520
DATE: 0< -I u- CJ7
Received of W~ ~Cv11.-h
~-mr .
the sum of . ~
for the purpose of . ,
~
r;;;;:;;; ~-CU-)~ --,
~7-cV& . ~~
dollars
$
30 (}U
Invoice #
1/1. Jncyz
eceipt Clerk for the City of Prior Lake