HomeMy WebLinkAboutSign Permit 00-004
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. eD 1~ Y
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
1. PARCEL LD. OF PROPERTY:
25-001- 084-0
(PHONE)
4~7 ... .3o(P 0 ~1"f6
~~7 - QeSD fll'tllelC-
(tHONE)
~L. ~- e680
(PHONE)
2. APPLICANT: (NAME) / (ADDRESS)
L- '1NO,q S. A'IA..J5N ? 1-. VPW
3. OWNER: (NAME) (ADDRESS)
fj/Z (/ e-6 .s /fi'1 65 ) ~Z(p.t::>1'7 ,t::~7J'7 ST. I
4. SITE ADDRESS OR LOCATION OF SIGN It
SA He ~
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUM DISPLAY) PERMANENT(WALL/MARQUEE/AWNING/FREESTANDING)
BaUoon * Banner* Business*Clrangeabk Copy Signs*CollStrllc1ion Signs*/lluminated Signs*IllStitutional Signs*1Ake Service Signs *
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanellt W"lIldow Sign*Porlllbk Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
30tP :3'
7. TYPE OF CONSTRUCTION
~ANIV'e:;Je-.
8. PROPOSED DISPLAY DATES (if applicable) WeD" z.../I(P /00 /"tON. 2-/2-1(0 0
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
10. Estimated Value o(Sign
(Width)
/0'
(Depth)
11. Completion Date
I hereby certify that I have furnished information on this application which is, to the best ofmy Imowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property. and that all co ction will confonn to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City PI can rev e "t fo just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perfonn ne d inspecti . .
z.../IC# /0 0
DATE
SUBMISSION REQUIREMENTS
_ Completed Application
_ Scale Drawing showing location of sign
---.Jlans and Specs
-1L... Permit Fee S J....<"',aO (permit fee is set
at time of application according to approved schedule)
Permit when approved.
By
Date
2 Hour Notice for All Inspections
447-4230 from 9:00 a.m. . 10:00 a.m.
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