HomeMy WebLinkAboutSign Permit 99-021 Crossroads
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
~
PermitNo.q~-OL\
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
1. PARCEL LD. OF PROPERTY:
J6:tt1t.L-eecc .0
(PHONE)
\40~~~ .AJf. lflf7-lOL()
(ADDRESS) (PHONE)
~JY\.e((~,)j E. If-4l--z..oW
(PHONE)
.l{4t-WW
2. APPLICANT: (NAME)
W
3. OWNER:
'\)r.W Y\~ ~,4Yles \~3
4. SITE ADD SS OR LOCATION OF SIGN
\l\O~~ ~m~(ce... ~~ )Jr:-.
5. TYPE OF SIGN: -TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANENT (WALL/MA.RQUEElAWNING/FREESTANDING)
Ba/Joon* Bllnner*Businns*Chllngeable Copy Signs*Construction Signs*mllmintlUd Signs*InstiIutiotud Signs*lAIu Service Signs*
Multiple Rnidentild N<<mepUzu Signs*On-Premise Directiontd Signs*Pernuznent Window Sign * Portllble Sign *Sllbdivision Idendfu:lltion Signs
6. SIGN DIMENSIONS
(square feet)
(Height)
1/
(Width)
ISI
(Depth)
10. E~:;1~~gn
11. Completion Date I
Ip ~O
'.
7. TYPE OF CONSTRUCTION
6reclvi ~ S\s:Ln
8. PROPOSED DISPLAWATES (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 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 permit for just cause. Furthermore, I hereby agree that City Officials or a designee
"'=of"",,__""prop lop ~""""'i _. ~
,!; zr7/Q9
DTE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIR.E?vfENTS
V. Completed Application
~scale Drawing showing location of sign
Plans and spe~
Permit Fee S t:)D (permit fee is set
at time of application according to approved schedule)
This Application becomes your ign Permit when approved.
By
City Planner or designee
~-~rCf1
Date
, l{C~ ~f6\1\ .WT~ ~wco~e~'v'e.- ~m vv- ~ .5CV~S
IV\"\O VVu-Ei>eQ ~ oct- JoLHUMq'
"
l:\handouts\signforrn.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 # 34566
DATE:~~JS~
Received m~~. ()rt~~:V Clu/J.0 Ih /.
the sum m I'1v LVi) _ I C
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City of Prior Lake
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00Z;SLPP 8P:Z;Z; 6661/L0/90
& SILKSCREEN INC.
~ 16511 Duluth Ave. s.B. PrIor Lake, MN 55373
Phone: 612..447..560 Fax: 612.447.5200
Date: 0_/2/7t
# of Pages including cover sheet:
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To: slw-r ~ FrOm:-.M ~
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Signs, Screenprinting, Embroidery, Promotional Items
.lo....
PO Box 392 16511 Duluth Ave SE Prior lake, MN 55372
612-447-4560 fax 612-447-5200
SOLD
TO
INVOICE NO.:
INVOICE DATE:
PAGE:
'0
,
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. .:. i
023531
03/04/99
DR. CHARLES W PUFFER, DDS
CROSSROADS PROFESSIONAL BLDG
14033 COMMERCE AVE NE
PRIOR LAKE, MN 55372
DR. CHARLES W PUFFER, DDS
CROSSROADS PROFESSIONAL BLDG
14033 COMMERCE AVE NE
PRIOR LAKE, MN 55372
SHIPPED
TO
Salesperson: At SKAJA
Purcha.se 'Order:
Ship VIA:
Cus:tomer Code: PUFFER
Terms: DUE UPON RECElP
I'IHHH (I ''/'~I''~~::: (~\I~'~'\\\' P'''(RII'1I0f\, I lI'\IT PRII I ""tOt '\1
51
51
51
1
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,_'!,i{j~L'~;'HOUNTILLUH. 51GN/26"X15'
tCPLttS!7. CHARGE
i1!fi~g"'lTl0NAL FOR LOGO
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2,027.50
141. 92
188.00
2,027.50
141.92
188.00
Subtotal
'kS.les Tax
Invoice Total
THANICYOU FOR YOUR ORDEIt< i .
REMi:J'!BE:R V~LLEY SIGNFQR:titALL"
vnUDDDnwnT rnN U. A nVllR""THt::TN~' ORIGINAL
2,357.42
153.23
2,510.65
Please Pav====>
2.510.65
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VALLESlGN
.. Emb('L...dery. Promotionsl Items
Signs. DecalS. Screenpf'lntlng I
& ~>H KSCFU r-N C()
Prior Lake. MN 55372
6'12-447-4580 fax 612-447-5200
-_.~_.. 0 Fax t./.Y1-J3;)'-
'---'- -
Purchase OJderlo
Oat. I{III _ f i
I
Du. Date _
Matl.s Ordered
Supplier __.
By ~,/
Tim.
Address
City & Zip
Ph. No.
~ t.!. I - fI ~ ~\ (1Sicfid~
Oty ~._ Size ~(o 'f... '.) Material ~~ ~ 2 SlOtld
Color: Background ~7'~ ~ l.ettering uJ ~ Border
Font Stylos .' _ ____ .. ..... p ~ ~
Vert.
~
Instructions:
)u.",,~
ap()J~.J- \ -I'~ ~
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Ol]'bted Price S
:-- ~)<~
,
Cupy:
Install
Hourly Rate $
Materla.ls
Fabricate
Shipping
Truck Exp.
Tota'
Tax-
hrs.
......
S
$
$"
$
S
$
> $
Tote' AMo","' Ow. )- ~
-'II mlll.,i.. ,. gU"'"NHd 10 t.- a. ~lfltOtl. 411 ........ '00. COmplele<l,n. _km.,.... ....n_
lltCO'(I.llg 10 .\.~dai'd PlllttiCes. Anv altt'".". 0' ,*,""0" 'rom _. aptClucallona In\'Ol""'ll
10'''. cost. w," I:lt ..tcut.(I 0"" ~pO/\ w'~le" O,d",. and w.11 t'.co",. 'n .xl,. e/Iet8t _
,n(l .00.. I~t .''''''410. All :lO,..",."" 'O"l"I\Ii'f11 ~pc.n 11""01, .."iCletl1.OI <lelaylllltjloncl
uur C."I'~I ("""1' 10 ~"'(~' li..t, tc:>",odcl and ~ "__ty ,,*,,_. Out ~ _Iv""
;;.ovttf.fJ D)' WDlltf!'l,ttt', Com~h"UOn fn'LH.n~.
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AuthOriud ...... /1
Signatur. (.L{
Note; This proposal ay be
withdrawn by us if nof accepted within
30
.days
...._.~. -
....~utntunra' llf 1troul1sal- lll, ~o.,.. p,jcII.lp8Clficatlont
and t'o...d1liOt'l8 .,. IIIIIT."II; and .'" ....f.by accepled. '(Oil .,. authotized 10
do I". w....k U 50'tllild. "'I\lmlnl wUllle ~c:l. .. oUlhned above.
:)"In ,'1' 1\(:(;'018nt.1 . ._ f-l.....::;..J.,. q ~
SlQnatur.
Sig".l\,".__....__...___..
30 3~l!1d
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"'''' JOIO 11 CCO 101.?0l
h1?i=lQ?Pl!"iQ4
SIGN A RAMA
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Phone: 612.44j.2322
I
PAGE 01
Estimate No.
1512
Fax: 512-447-2322
i
Dellr Dr. Hines, I
Thank you for taking time with me, and for your intefest in Sign-A-Rama.
listed below is the quotation on the items we discus ed.
If you heve any questions, pleass call. Thank you.
I
triM :'.,. Product: ILLUMINATED Color: Duranodic Sii:.' 28 X 180
g:;~~~n: I:~~~*~~~.~.~t..,.~~:~~;~
75 Q Tote I
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Sincerely,
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Beverly A. Bauman I
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..... G,'" 'v_ ........~. IAN 56.., PHON~ .,2-..2-.... FAX: "2".1-0'"
$
1950.00
$
$
$
1950.00
97.50
2047.50
~GN*A*R~..f
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& SILK~3CRr::FN co
Signs. Decals. Screenpl"intiilg, Embroidery, Promotional Items
G12-447-4560 fax 512-447.5200
PO Box 392 1 eS11 Duluth Ave SE Prior Lake, MN S53n
ItlN'C:S
Customer ~ W~ {iA '. ~
Name ~
Phone No. LfJ7 7 - 0 Fax t.N 7 - :J..1-:J. a.
Quoted price
Sketch/Digitize Charge
Signs $
Total Leuers Only
Install
Hourly Rate $
Materials
Fabrioate
~ - .Qllil'piaQ
Address
City & Zip
Oty
Color: Background
Font Styles
Instructions:
,!!- ,;; r
Size "" X I 5' -
Q.....-....,-... ~ ~ering
Copy:
, .~ e..
o fJOM ~T'R.' <;T
UitwAy,ve G-. HIN~S
All mawi-' ill oual8lllllNd 10 be p tplOCrtell. All worIc to ~ c:cmplele<! in . ~anUk. manner
_11I11IO to ataI'odIlnl prat;liCee. Any Illte1a\lOl\ or Mvt8l1On lfOm abCWe lflIICiflcalioM InvcMnQ
ex1.11 ccell "'11 be IIX~ orllV UClQ'\ writtM\ ordIItS. all/! WI~ - a" pi", Chargll ~r
and abcvt \till _mati All ~~1I conti.,. upon Ilrlllel, IICGiIlenIl 01 Clt!ay& ~
_ control. 0wnIIr \0 ~ 11ft, \llmlldo and CMt!tIr _ ill8Urenoo. OUl' ."orll... ... tUlly
COWl.1Id by WorkfHn'l ~n I"""ance.
l rt~ttbm.ce of ".1t:troul1sxl- Th. above price&, tpedfiClllonl
~d~~- iNl tatiMaetJY anclal. her8br ecoepted. Y'oU ... allthOriHd to
do the war!< at specified, Paymtl'lt -Mil be made .. outlined above.
Ott. of AcQeptInCt: ~
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. Purchase rer Nt
Date i " 'i~ By
.
~
Due Date
Mati's Ordered _
$l,Ipplier
Time __.__
Ph. No.
Material u..j
w6tT
c--r :Sld~
_ "'] stoed
Border
Vert.
c~ori~
$ 2. I (, q . C;-O
$-
Ga. $
$
Truck Exp.
'fotal
Tax
hrs.
$
$
$ ~ .e.w=
)- 1~( -
$
$
$
$
L
Total Amount Due
AuthorIzed a/
SIgnature
Note: This proposal ~
withdrawn by us If not aceej:)led WIthin
davs
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SB:BB 666t/EB/SB