HomeMy WebLinkAbout99-018 Car Wash Sign Permit
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. Ofl...t>\,-CO
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. d"5-J/1- oDl-f-1
2. APPLICANT: (NAME) (ADDRESS) $" fd'~+~1' (PHONE)
S vb ur-b{.Q IJ ll'1~--tIr\1~ ~Oll L/( E LrYl 0 Ru ~. ~SI_lI39-7~'1(j
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3. OWNER: (NAME) (ADDRESS) (PHONE)
Ho\,dCt..&..( CO. "IS" ? w. 9'o't& ) ELoOMJ~c;.+O~/""'.u SSI/~') ~ 12- 93--Sfl9 J
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
1(,,<800 ~\.) I... U"1" ~ 57 ts>/2.- L/t/7-StJS"1
5. TYPE OF SIGN: :r'EMPORARY(21 DAYMAXIMUM DISPLAY) @RMANEJfi(WALLIMA.RQUEE/AWNIN~ESTA1VDING).J
Blll1oon* Banner*Businen*Cluutgellble Copy Slgns*ConstructJon Slgn8*IUumlnated Signs*Instltutiontd Slgns*LtIke Servb ~gll8"
Multiple ResUlentitd NtllllepUue Slgns*On-PremifJe Dlrectiontd Signs*PerllUUlent W'uulow Sign*Portllble Sign*SubdiviBion ldentljlctltloll Signs 7""",
79Dt:)II.,Jdj "CAR w/tSI-J'/ S,q"" +tt:> _~E/IUIU" I~ T/.-IJIAJ Po/-e. S-U;AJ RLHt!FIfI)'f
6. SIGN DIMENSIONS 10. Estimated Value of Sign II G" Co t::>
(square feet) (Height) (Width) (Depth) 00 -
to./S'" I Z. 1/ ~ I "3At" S' " 11. Completion D~ ') G,- 1- qq.
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7. TYPE OF CONSTRUCTI2N ~
~ L~r F~o(,JreSCl!TAJ r
mE/i'lL} I r~ l-er/t:1;"
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 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 WIll proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City otlicials or a designee
thereof may enter upon the property to perfonn needed inspections.
~ /lt~ s--~- 99'
SIGNATURE OF PROPERTY OWNER/A DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
~e Drawing showing location of sign
~ans and Specs ......
Permit Fee S 3 0 (permit fee is set
at time of application according to approved schedule)
. TIUs Application b1l! YOT Permit wben approved.
By .f%, Y7f(ZAJ
City Planner or designee
Date &f}.(j/7~
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 axi Sf; "{7 5\5Y'\ - o.r tA.. - elL-
.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.In. - 10:00 a.m.
l:\handouts\signfonn.doc
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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 # 34560
DATE: Fi/ d'1 ) cr}
Rocewed of jqflV.ift/n 4.r-jIy;m ~
the sum of ~ - ~AJU1 ; C;3;1tD 0
for the purpose of bOt' ~ ~ OJ '1-01 8'
91- D/7
----
--- dollars
Invoice #
$
(p7 ;;3
.a,~
Receipt Clerk for the City of Prior Lake
Total:
0/.0.3
Suburban Ughtlng Inc. Account No.:
Doc Type Document No. Document Date
Invoice HOLIDAY 198 05120/99
Amount
67.63
May 20, 1999
Discount Net Amount
0.00 67.63
Check No.
25729
F
Permit for
Holiday #198
16800 Duluth Ave.
Prior Lake
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