HomeMy WebLinkAboutSign Permit 99-008 IBR
12/15/9S
TUE 09:36 FAX 61244i4245
CITY OF PRIOR LAKE
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141002
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~ City of Prior Lake
U/ APPLICATION FOR SIGN PERl
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for Obtaining a building permit if necessary.
2. APFLICA.:."'lT: (NAi\1E)
J ~ M (Sf-(<.G <2-v j s r
3. O\VNER.: (NAME)
S k~, r 1h, d It' rJ ce; I GNtl \i\S f-17l,
4. SITE ADDRESS OR LOCATION OF SIGN
I I (.. ),.:t 'i 1M i AJ I\I...e Sf", P.e.-}.o Il. L -11& frl,;J
15. TYPE OF SIGN; IF;lllPORARY(21 DAYMAXllifl;lM J)JSPLAt) PERJ.ll4.lYENT(WALLiMkQueElAWNlNG/FREESr.4NDlNG)
. Bt:lloon - Bilnntt" BU$iness*Changi!4b1e Copy Sign$ -Con!Itruction Sign!I -Plum;nated Signs"lnstilutional Sigfl!I * Lake Service Slgn/>"
M.ul1lp/~ Residential NfJmep/ate SJgns"'On-Pre/fi4e J)irectJOlfill Slgns*Pel'l1Il1nent Window Sign-Portable Sign-SUbdivision Identification Signs
(ADDm:SS)
~:.\~ 7u
(ADDRESS)
~-<f W/NG
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1. PARCEL l.D. OF PROPERTY:
1.5 ~(-(!)3;L ~ e:J)
(pHONE)
0O^'~tN '1,1 ;L-t to,
(pHONE)
LA Uv'f lAL ,lhftl LC~ s:- t 5'3 S-
(PHONE)
J ;J.(,-J;7 / I
6. SIGN DIMENSIONS
(squ;eZe~i 5 3'i:t) I
- -
7. TYPE OF CONSTRUCTION
e-J/fertli\)~ P~YWOD!
8. PROPOSED DISPLAY DATES (if applicable) A 5A- fl
SIGN PER'1ITS W'lLL NOT BE PROCESSED ff TIIEY .<\HE mCOl\'IPLETE
(\Vidth)
.-1-'
7.1
(Depth)
10. EnlmlltBd VAlUe of . n ~~
U. CfjmpletlOD Dllte t:Q
/-15'-"
I hereby emf; that I have I'Umi5hed information on this application which i5, to th~ best of ltly lmowJedge. tttle and COrrect. I also certify that I am the owner
or authorized agent for the above-mentioned prop!:rty, and tl1at all construction will conform to all existing slate and local laws and will proceed in accord~ce
\.Vith submitted plans. I am aWl1.fe that tlle Cit'j PI:mner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the propert:f to perform ne!:de insp!:ction.
OW:ffiRiAGENT
1-'-77
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FOR AOMINISTRA TrVE US!;;
,...
SUBMISSION REQD1RErvfENTS
_!./"Completed Application
~caje Drawing shov,ing location of ~ign
t./'Plans and spcc~
~Perrnit Fcc $ . (l'ermit fee is ,,~t
lOt time of application according to approved schedul~)
This Application becomes yourign Permit when approved.
B
D~te
2~z--s~
This is to certify that th: requeSt in the above: ;ipplication ano accompanying doc-",ments is in aecordal1ce with the City Sign Ordil13.t'lI;~ and mill' proceed as
requested. This documomt, when signeo by- the City Planner or designee ccnstirlltes compli;ince wi:h the Sign Ordinance.
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 34528
DATE: :(eh .L4't ~.:L-
Received of ~ II~
th.sumof~ ~/tt:D
for the purpose of ~ -d- Jt:-
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dollars
$ go, 10
Invoice #
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