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99-032 Sign Permit
t' ;f 09.0S.99 WED 10;26 F.U 612-1-17-12-15 ern- ::f ?RI:)R L.lliE €" I I City of Prior Lake Ivli APPLICATION FOR SIGN PERMI ) [4J 002 Permit No. e'ft -032- DIRBCI10NS: One cOtnpleted applica.tion per sign is required. Applicant is responsible for obtainiDg a building permit if necessary. 1. PARCEL r.D. OF PRO.PERTY: 2l~:-~t"'D67-o (PHO~"E) 'ill]O Wa5h-'YBfon i12eJL 6fJJ~;}:J-~~7 (pIIOl'"E) liY7 - q~2J (PHONE) 2. APPLICANT: (NAME) (ADDRESS) G rnpb \ {' Spe CJQj.:hf>e; IvY'. 3. OWNER. (NAME (ADDRESS) C'I~ af 'Pr )0(' L1 k..e. 4. SITE DRESS OR LOCAnON OF SIGN -1.b2lD E~)e (rf'~LJe S.Ft 5~ZJ~ 5. TYPE OF SIGN: TE ORARY (21 DAY MAxIMUM lJlSPUr; PERMANENT (WALIAURflUEE/A WNING/FREESTAlVD1NG) BlIl14(1""lIlUUr.,./Jruu.al*ct.lUrr~tI6w Copy SI6ns.C,,,wUdiD. S16ns -mu1rlilutJltl Sig_.b,mtt.m"..J SI8"s*L&J..! ~ SIII>$. Mlllli~ RuiJlUIIi4l NIUfI~ Sir"s *o,...P'lImiu DlnctiolUll Sl,ns.PU1/IIJUIe"t W'UIIIDIfI SI'If.PDrUI.b~ Si,,, .SIl6d~ ru1ldji.aJrltl" SIgn$ 6. SIGN DIMENSIONS (square feet) (Height) (Width) (Depth) JO. :Estimated 'VaJae ofSlln ll. Completion Date /0- /o-?-, 7. TYPE OF CONS"I'RUCTION 8. PROPOSED DISPLAY DATES (if applicable) SIGN PERWTS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE r bereby certify that I have furnished inti 'on on this ~l'Plieation which is, to the best of Ill)' knowledge, true and c:om:~ I also certify ~t I am the owner or authoriud agent for tile above-monao d cny. an thal 1 conSlnIction will conform to :l1I en,ting stile GIld \o(:al laws IInd WIll proceed in ,,"ordancc with submitil:d planJ. I am a~ that t City I n~n this pmnit for just caus/:. Fut1:benTlore. I hc=by Agrc. e that City Offi<::ials or a de..ism:c;: lbm:otmay enter upon the property to p onn . s. ~ r SJONATIJRE OF PROPERTY OWNER/AGENT DAT t:OR ADMINlSTRATIVP. USE SUBMISSION REQUlREMENTS L/C'QmpJcted Applic;:ation ~=f?;;?:~_";:::;:::;~,, LDU-u.,(d at tlme of application according to approved schedule) c.' 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