HomeMy WebLinkAbout99-009 Sign Permit for PL Players
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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PermitNO.~O'1
1. PARCEL LD. OF PROPERTY:
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C~'" \ ' " . (ADDRESS) '()c% (PHONE~Q~\<...
'~)Pb ~\~..\n'E'J~c.. \'l~\< ~CA'\\.o.~'" ~ I 44')-4~O';\, x#-4~\))
3. OWNER: . (N~) -:J (ADDREss) _ ~~. (PHONE)
~~~a1.~~~~~FSIGN 14.()'-S ~~ (PHONE)
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S. TYPE OF SI .:rEMPORARY(21 DAYMAXIMUM DISPLAY) PERMANENT(WALL/MA.RQUEElAWN1NG/FREESTANDING)
BlIlIoon* Bllnner*Busines:r*Chllngellble Copy Sign:r*Construction Slglllf*lUumlnllted Siglllf*I~*LIIke Senice Slglflf*
Multiple Re:ridentitd Nllmepltzte Siglllf*On-Premise Directionlli Sign:r*Permllnent Window Sig~rtIlble Si~"bdlvision IdentlJlctdion Siglflf
6. SIGN DIMENSIONS
(square feet)
10. Estimated Value of Sign
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(Height)
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(Depth)
11. Completion Date
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7. TYPE OF CONSTRUC ON
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8. PRbPOSED DISPLAY DATES (if applicable)
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 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 confonn to all existing state and local laws and wm proceed in accordance
with submitted plans. I am aware that the ty Planner can revoke . s permit for just cause. Furthennore, I hereby agree that City Officials or a designee
thereofmay enter upon the property to n=1ed . ns.
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQumEMENTS
~mpleted Application
::2:: ~aIe Drawing showing location of sign
_\.."Plans and Specs Ov
~ermit Fee S r:;; (permit fee is set
at time of application according to approved schedule)
By
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 lfigned by the City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditiom I D1 S€;-i1:Ja.:iL 6un'1.' ~~ U /\R.- .
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m.. 10:00 a.m.
l:\handouts\signform.doc
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PR!OR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 34526
DATE: . C;;/~.3jf7
Received Cf,-~ {Jh/J~J
thesumcf ~~
for the purpose cf - - - &
dollars
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Invoice #
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CITY OF PRIOA LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT Ii 34527
DATE: t9/~=?J1i
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Receipt Clerk for the City of Prior Lake
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