HomeMy WebLinkAbout99-010 Sign Permit
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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DIRECTIONS: One completed application per sign is required. Applicant is
~nsible for obtaining a building permit ifnecessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (N )
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3. OWNER: )
( ".~.~~)" ,\.L.. \3
4:- SITE ADDRESS OR LOCATION OF SIGN
(ADDRESS)
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5. TYPE OF SIGN: ORARY(21 DAYMAXIMUMDISPLA.Y) PERMANENT (WALLIMARQUEElAWNING/FREESTANDING)
BlIlIoon* BtlnnBr*Business*Chllllgeable Copy Sign,*Construction Signs*Illullfintlted Signs*~-'" ~*Lake Service Signs*
Multiple Residentitd Ntllllepltzte Sign,*On-Premise Directional Slgn,*PerllUlnenl Window S~ ortllble Sign ubdivision Identljiclltion s;,,,,
6. SIGN DIMENSIONS
(square feet)
10. Estimated Value of Sign
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
(Width) r
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(Depth)
11. Completion Date
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished infonnation on this application which is, to the best ofmy knowledge, 1rUe and conect. I also certify that I am the oWner
OT authorized agent fOT 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 pennit fOT just cause. Furthermore, I hereby agree that City Officials OT a designee
thereof may enter upon the property to perij ed . .
)-/9-99
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application
. e Drawing showing location of sign
_ ~ and Specs f)1>
~ermit Fee S fS' (permit fee is set
at time of application according to approved schedule)
By
r S}cn Permit when approved.
.~f"LCv1
City Planner OT designee
;) ~ .?-3-q'j
This Application b
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 OT designee constitutes compliance with the Sign Ordinance.
Special Conditions 10 F ~t- trrJirl fl11f- t-.rr-..t. .
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m.. 10:00 a.m.
I:\handouts\signfonn.doc
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SIGN #3 'N-ILLUMINArED
DIFlEcrlONAL
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RECEIPT # 34526
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE. MN 55372
(612) 447-4230, FAX (612) 447-4245
DATE: blf~:~J77
Received of ~ j)JJn~!r
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the sum of .
for the purpose of - -&
dollars
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1DO aU
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Invoice #
eceiot Clerk for the City at Prior ~a~e .
RECEIPT # 34527
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
DATE: C;;(~~/cr1
ReceiVedO~ J)~ ~(:~ _
the sum of ~ ,--"y
for the purpose of iQ _.J)S ~cfY1 p~
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dollars
$
3{)60
Invoice #
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