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99-031 Sign Permit
'_'.'_'.' ..-;:..;.x~..;..:-:..-~.;';'~;:" - - ..- ...- - ....~--~.~-;.,..... ..' -'-.-' - - ... ---_....._-'~-~ _...,.~ ...~.... .231999 City of Prior Lake LICATION FOR SIGN PERMIT Permit No. Oft-OJ' ( DlRECTIO e comp e er sign is required. Applicant is responsible for obtaining a building permit ifnecessary. 1. PARCEL LD. OF PROPERTY: 2. APPLlCANTr (NAME) / (ADD~SS) fJl LVp 7, ",ufI!GtAi! Clft/j?tH 3. 0 R: (NAME) (ADDRESS) ~tvJ t 4. S ADDRESS OR LOCATION OF SIGN ;z. - --C,U - Z-o If' () B p We (PHONE) (- tAtt rl. ~ \{ '10/' .f: /177 /". A I.'. LJ.... (PHONE) L...CA~,~V~~PA'I-el' (P'7tJ-: a/lJ... MJUII' . 7'%-~6Iq 7 (PHONE) 6. SIGN DIMENSIONS (square feet) 3LB j$/Of; 7. TYPE OF CONSTRUC (Width) 1!-yd (Depth) " ~D 10. Estimated Value of Sign 4c;;;oi> 11. Completio~ pate WII '2- Wa:~ ~a... . l'f SIGN PERMITS WILL NOr 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 __m..._""........to~- ""~PRDPER~~AGENT ~y /'i'/ FOR ADMINISTRATIVE USE SUBMISSION REQUIREMENTS VCompleted Application ~. . cale Drawing showing location of sign Plans and Spe~4~ Permit Fee $ ~ (permit fee is set at time of application according to approved schedule) This Application becomes your Sign Permit when approved. By~~~ Date ~ - 3 t"'~t\ l:\handouts\signform.doc ( -;.,. ""-. . --~ ; j j /. RECEIPT DATE ~'3 J CITY OF PRIOR LAKE 16200 Eagle Creek Avenue S.E. Prior Lake, MN 55372 Pla~ Received of ~. 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