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Home My WebLink About99-012 Sign Permit .. . .... .. .".n.~<;" '..... 4O'"__"M"~ ..'_ .. ~ City of Prior Lake APPLICATION FOR SIGN PERMIT 2. APPLICANT: (NAME) 60 kJLlfj /WJi1'kJ 3. OWNER: (NAME) (ADDRESS) /Lf070Cttm~.~ (ADDRESS) Permit No. 8r'I4 ~ 1. PARCEL I.D. OF PROPERTY: ~-1a,Lf - COl-O (PHONE) DIRECTIONS: One completed application per sign is required. Applicant is responsible for obtaining a building permit ifnecessary. (PHONE) jl/07u CotrJ~ 5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAY) PERMANENT(WALl/MARQUEElAWNIN< .. 'ESTANDlN Balloon * Btmner~htmgeabk copy Signs*Construction Signs*m"minated Signs*Instltlltlonal Signs*Ltzk8 &rvic~ Signs* M"lnple Residentllll Nameplate Signs*On-Premise Directional Signs*Permanent WIndow Sign*PortalJk Sign*S"bdivision Identification Signs 6. SIGN DIMENSIONS (squar. e fe~ (Height) 3 )D 41 7. TYPE OF CONSTRUCTION .. dJ.q~ ftty1 8. OPOSED DISP Y DAn;S (if applicable) 10. Estimated Value of Sign (Width) gl (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 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 pennit for just cause. Furthennore, I hereby agree that City Officials or a designee thereof may enter upon the property to perform needed inspections. s~1~~~G~ DATE FOR ADMINISTRATIVE USE SUBMISSION REQUIREMENTS ~mpleted Application ~e Drawing showing location of sign ~s and Specs 00 Permit Fee $ 36 (permit fee is set at time of application according to approved schedule) This Application be By es your S1n Permi~ when approved. ~.~ City Planner or designee 31d-V/~ , . Date Special Conditions 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. , . 1()J.e;tba~ 62{)1 9-K. 7~- c;) 9' I:\handouts\signform.doc DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS (J rn ee-cG" A- lit: 3 ~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT ADDITION 12. NO. OF STORIES BLOCK PID 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 6 ~DER 7i) 7'- 'f 3~t#; ckPt'L<( If; ,-,-' DPrKKetJ f71Jn1F~J-NC, ~ I<... L-~ /Y7N 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 l<(16tU (Tel. ~o.). / bid; 't 'T 7 - 5.)-F 7 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE 17. COMPLETION DATE Width Depth Yes No I hereby certify that I have fumished 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 . ned erty and II construction will conform to all existing state and local laws and will proceed in accordance with submitted plan I am aware that the building a ok t . for j t use. Furthermore, I hereby agree that t' i offici or a designee may enter upon the property to perform eeded' X Z License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION SURVEY PLOT PLAN o COPIES o USE OF BUILDING TYPE OF CONSTRUCTION: I /I III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other................. ........................ $ Total Due .............................. $ Paid Receipt No. Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This Application Becomes Your Building Permit When Approved. By Date Certificate of Occupancy Issued Date By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. city Planner Date Special Conditions n any 24 hour notice for all inspections 447-9850 .',i . - '. . ,:,.,~;'t.;';'."-'~'~':;......;L-~~."~,,;:_,~...,>,~,,,,,A.;....,..~,.._~o>~,__,~'.. __"'~": .........~..:.. - ~ CITY OF PRIOR LAKE 16200 EAGLE CREEK AVE SE PRIOR LAKE, MN 55372 (612) 447-4230, FAX (612) 447-4245 RECEIPT # 34536 3-~~9 DATE: ReCeiVedO~~. 1m, the sum of hn }..oD -. for the purpose of ~~ ~ ~_ ~j.. 'l-D 12 - dollars $ 111.9 . dO Invoice # 'i""""'" . -: ".c '?'~~; ~."'f! ._::.....J-: .~....~.:- - --"'"""~~-"'~~--- -< -~ :" Jir~ "'J-'tr ~ ' '::"'L___~od .Jiiil.u Pay to the ~p , ~ Order of /\ L(L... ~-ihLU:i~J... {\OJ/Of:> C ___ PRIOR LAKE STAlE BANK Hwy. 13 & Duluth Ave. P.O. Box 369, Pro! Lake, MN 55372 (612) 447-2101 .;~..~~t;'if~~;;r ,,'tt~'tj;:;ftt '~'-,,,;,,"?Ii""'" ~-~ BAKKEN HOMES, INC. _::" I 1"-'r'\.V~ IIILLJ 111""_ ,. ,. .- PRIOR LAKE, MN 55372 'A_ 3 o-Cl<J Date ;J 75-9051919 BRANCH 1 $ 3b .00 f.iii.1 Security feaIUr.. Dollars L!J [;1::~~:don block. ~ ~rt ~r ~~~ :lx-~. .. === ~~~~;:::':~ M' CHARlAND CLASSIC \ \ \ / \ I / / / I \ -- feu,,~e,J \ \ \ ~5 ~ 'S~vt ~ \ ~ I ~ -3 \ I ~ \ I \ ':>C>le" I \ \ side.., 0\ e, va+l on, V'7.". \ 1'0" - ------,.-_.._~..__... _.~_. '. ".. ._,...u.,........_ ~~... ..._.. ._. ......._____.""...__._"._-"". >P...; ,'_'..,'.""_ . 1'2. I~ ~ ~ '" ,~ .___ __"..,,~" '_.' ~".._.. _ ... ",~_~.. _.__ w _ ...,,".. _ .. _,__"_......,.." ...-. -- .--. ----...-.....-...---- -~..'.~_._-._,~,..~-,..._~~. --- .,.-' -. -_.....~-'._---~----~_._.._---,-- _..,..,___..,;=~_==::~::=_..:.~~..=~.::-.::::.::_.~.'''',w-'''~..:~:.....~.._._.._ _ _ .~:' "_ _._,_.,....~._....~....- "'..__..~..- -'~---"''^--~'--- , ,-, ,C ":4 )('4,,",,',-',cc ~ A \I.~f~'o: ~':_",,: I ; \ I 'Su~ 5~ pm,?, ~~~l~~DlliJn~ .' \ ~ r . '0 \ -' -< \ \ ~ I \ " '.,.-t-.I\ I I .. I .s " s I I I f : I '\ '~~rn~~. '\+'21 L'..,...\ \lI' ~f"'\~~ .. -.J>-~~ \'1-<-'\I~ ,~ '1 -.:t ~'lt,4 ~ ~ ~ i I I I I I i I i I , 4" 1 ?:-d --,---_.--.-__0...-._."-'--"_..,, _____.__...____._._,______._____________ ~~i' f-"orrr tJe-VO+IOYI V~~: ~ '_0'" , r:e'?~/6\GO~ \6eJ6u\\JLM '5re:,~Ab APPROVED BY DRAWN BY DRAWING NUMBE A I ~