HomeMy WebLinkAbout99-033 Temp Banner Sign
Ci~ofPriorLake ,~
APPLICATION FOR SIGN PERMIT (~/
/ PermitNo.q~~J3
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
1,5'-lI7,-ta9<-{ - (
(PHONE)
"-tl.\,-5()5J
(PHONE)
l.\l{'1-sas L
(PHONE)
\.\l\l-sa; )
2. APPLICANT: (NAME) (ADDRESS)
3. ~2Q~AME) \lo~~~v..\'" \\\l't.
\-b\ic\Cl\J \ tD~CD Dwui\l Aoe_
4. SITE ADDRESS OR LOCATION OF SIGN '
\ lo 10J 0 ull L:l:..b-AUf_.Vrl. ()v LoJc.L
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANENT (WALL/MARQUEE/AWNlNG/FREESTANDING)
BaJ100n* Ihuuter*Business*Changellble Copy Signs*Construction Signs*Rluminated Signs*Institutional Signs*Lake SeM1ice Signs*
Multiple ResidentiIII Nameplate Signs*On-Premise Directional Signs*Pernuznenl Window Sign*Portable Sign*Subdivision ItkntJfiClltion Signs
6. SIGN DIMENSIONS
(square feet)
g~
(Height)
J./
(Width)
3
(D~th)
1/,
10. EstimaWalue of Sign
.nJ
11. Completion Date
I ~ .../,.1';
7. TYPE OF CONSTRUCTION
1!.~(1U6~
8. PROPOSED DISPLAY DATES (if applicable)
Cf -4" ,., .I"" /1/
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 voke this pemlit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to orm needed . ons.
(} ,.,J., ~ ""
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
---0ompleted Application
_ Scale Drawing showing location of sign
_~ and Specs
~Pennit Fee S ~1j9 (pennit fee is set
at time of applicatio cording to approved schedule)
This Application becomes your ig Permit when approved.
By
City Planner or designee
C'7 ~ ~.'1.,~4.
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 desi ee constitutes compliance with the Sign Ordinance.
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RECEIPT
DATE 0"2.:;..~
CITY OF
PRIOR LAKE
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372
DEPARTMENT: p~~ ~
Received of _t~~-~~e:c.\ 5,Jb~ S\~S
The sum of -F I~~ ~<90Mo .. dollars
Fo~rp~e~~ ~~~ ~~"\
~ ~vW<i:""' ('~~.!,"Jc9:9'fQ
-322-~~~
2-\ ~ St[)1^~~1M,
$ /(~~ Account #
. ~
. Receipt Clerk for the City of Prior Lake