HomeMy WebLinkAbout99-027 PDQ Sign Permit
City of Prior Lake
APPLICATION FOR SIGN PERMIT
ricl
Permit No. Or4..() 7-7
2. APPLICANT: (NAME)
p D (~ 1i-:J- / ((J jilt I ~ (1p y'V/ Yy,( r(~9-J-/ {)~f
3. O~R: (NAME) (ADDRESS)
r::C;7-< i/ldrC~ L()((~ cI-1Z-S
4. SITE ADDRESS OR LOCATION OF SIGN"\. (PHONE)
_ Yl /jC-A.~>1 d--i Vl -, . t: . '. . .
. L 'i /[)f(. Vl' r - - - ( _ V (.C{J< .~_ ~/~ r>_ (. t:6't.
5. TYPE 0 .N: TEMPORARY 1 DAYMAXIMUMDISPLAYj PERMANENT (WALL/MARQUEE/AWNING/FREESTANDING)
Balloon* anne usin angeab1e Copy Signs*Construction Signs*/lluminated Signs*lnstitutional Signs*Lake Service Signs*
Muliip1e . entia! Nameplate Signs*On-Premise Directional Signs*Permanent W"mdow Sign*Portab1e Sign*Subdivision IdentifiClltion Signs
(ADDRESS)
1. PARCELl.D. 0 PROPERTY:
IC/' --Bte;-o
(PHONE)
(pi;;'" ~/~/7 - fo ;P6 b
(PHONE)
DIRECTIONS: One completed application per sign is required.. Applicant is
responsible for obtaining a building permit if necessary.
(Width)
(Depth)
10. Estimated Value ofSirJf/;, _
;).<J () ,.10
11. Completion Date +
d-F1-qQ
j
~) h~_l-e
8. PROPOSED
, ;, - ~..cct
liD.
r'Cit
--I .,., 0 O..L ..--:: ~ 0 C 4-
-- B- 1/ 7D 1- CI "1 - 7 /
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
fpA-
II
I hereby certify that I have furnished information on this application which is, to the best ofmy 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 wm 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
thereof may enter upon the property to ~ needed ~e~ti_ons. . ~ .
~//!..r2'.KU?~ 7-g~99
SIGNATURE OF PRopEifv O~R/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application
~cale Drawing showing location of sign
~ans and Specs
~ermit Fee $ l5"1!!:'- (permit fee is set
at time of application ccOrding to approved schedule)
This Application becomes your Sign Permit when approved.
By ~ designee
Date 7 - K -Cf;
"
I:\handouts\signform.doc
('
I ", '
RECEIPT
DATE 7 -~.4.~
CITY OF
PRIOR LAKE
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372
DEPARTMENT: P(~"\ ~
Received of P 'CJ <Q. ~t.Sv"~
The sum of F, ~~ +- eJ~
dollars
For the purpose of
~
---1 ~v'v\.IJ",
~\~\
"
~\~ ~~0~~
- \
,~~ .2-q, t~~~
,
l~ld- ~ ~Jt- J-$2J!
~~lGt9'~
$ 1,0~
Account #
~
Receipt Clerk for the City of Prior Lake
~
r
~.
A.
p
~:
r
o~
~
r---;
"
----!-..
0'\
" !
2-
",)
r--
,......
'--.0/
'":>
'"
~
7\
/ .
\"
,.-
J
-(
c:.
9-
r;
r
r
,
.."
2-
~
r-
r
"_J
-
r:.,'
'"
~ '""
-L....
I
C
'C:'A
C:J
c:-=..,
\'"
~'
'--~
r-.
r'"
c/
I'"--
("-
',..~
... /*
~
:t..
f'-
,~
('.
,A
"-,
~
Ii
Ii
i i
i:
i /
-
y
;;--;
...L. .
u
I ,......-
I
~
------------
~..
Ii
I
~
-------:
\
I
~
r-----
'>--
,
~
::::s
----c~
- ~-:)
-::::::::-...
? "
........
j,
~'}
c
'"""
\...-./
-:;,
I
-.