HomeMy WebLinkAbout99-025 Flowers Naturally Sign Permit
City of Prior Lake r~)
APPLICATION FOR SIGN PERMIT c.t/I
Permit No. qCt -Our--
2. APPLICANT: (NAME) (ADDRESS)
FLo~~~ )JA-Iu~ 1'76() ~,;ed4 flU~/<.. LIid~
3. OWNER: (NAME) (ADDRESS)
,ci:~-f) WI L~NP 3;1;).0 LIN~ Crie . ~ I&JA.. LAk
4. SITE ADDRESS OR LOCATION OF SIGN
'1<10-1'- 1)~ ~ ,'?t?O /4~40
5. TYPE OF SI~MPORARY (21 DAY MAXIMUM DISPLAY) PERMANE RQUEE/AWNING/FREESTANDING)
BaUoon* Banner iness 'hllngeable Copy Signs*Construction Signs*mumintlte igns*li . ntll Signs*Lttke Service Signs*
MuUiple Residential Nameplate Signs*On-Premise Directional Sig1tS*Permanent Witulow Sign*Portllble Sign *Subdiviswn IdenufictUion Signs
1. PARCEL I.D. OF PROPERTY:
~b-Cro J.--- 02-{ v D
(PHONE)
it~7- 7'/11
(PHONE)
LlIt?- f.J 93'
(PHONE)
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
6. SIGN DIMENSIONS
(square feet)
;f:J I '-III
7. TYPE OF CONSTRUCTION
P LPr5{ (e:. f3 Lu e.. bzi-!eIt.S
8. PROPOSED DISPLAY DATES (if applicable)
(Height)
(Width)
9/
(Depth)
o
10. Estimated Value of Sign '0 ~
11. Completion Date :::rvty I S', I "17
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 permit for just cause. Furthennore, I hereby agree that City Officials or a designee
thereof may enter upon the property to ~eeded inspections.
~ C(fi/L./ ~'.:l-tF-9<j
f SIGNATURE OF PROP~ri ~mGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
--=-;:- Scale Drawing showing location of sign
V Plans and spec~ ~
--:- Permit Fee S e :::-(permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
BY~~
City Planner or designee
l~ t-4'1
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 or designee cons~tutes compliance with e Sign Ordinance.
Special Conditions
6LVe~C ,
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
PRIOR lAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 34581
DATE: ~ I Zr a"
Receivedo! ~~ ~~
the sum o~ A. ~ V;:, (lLi)
for the purpose of l
dollars
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$ oU .Iv
Invoice #
rft'1j ,A n I) rl~t: L____
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'- Rec~ipt Clerk for' the City of Prior lake
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