HomeMy WebLinkAboutSign Permit 00-005
City of Prior Lake
APPLICATION FOR SIGN PERMIT
J 1~..(9)~
PermitNoK ~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary. 2S - 00' - t Otil- C)
2. APPLICANT: (NAME), (ADDRESS) (PHONE) ,
Af+o,.d~ b loe Ati:J;" ~ AJu-t,.-f;$'~~ 1,1, 3" c"I,,~ Sf. Sf:' ~ -3232-
3. OWNER: (NAME) (ADDRESS) . (PHONE) gag... 2.1 !?
~~~~~\'l'\ b\WO,) ~~ 'erc:tO~ C;~tN\j AA. ~ BI~~~ft)"',~fi 'S5~20
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
. Li-l.3t.. cobr&J() 57,5(.,lrl'o' ~j'nN;(8r-/!c.,~'Sb~~~/i~) 4if()-~2~2.
5. TYPE OF SIGN: TEMPORARY (21 DA.Y MAXIMUM DISPLAY) PERMANENT (W ALVMA.RQUEElA. WNING/FREESTANDING)
BaIlotJn* Banner*Business*Changellble Copy Signs*Construction Signs*Illuminated Signs*Instltutlonal Signs*Lake Service Signs*
Multiple ResidentUzl Nameplllte Signs*On-Premise Directional Signs*Permanent Wmdow Sign *Portllble Sign*Subdivislon Identlficlltion Signs
6. SIGN DIMENSIONS
(square feet)
I '10,0 s 1-"
7. TYPE OF CONSTRUCTION
'Z#J,i)'I~lIJeJ t..f/ttey~ -S~~Vl'>~~ 'j~LN0.'---0 h~. u-~lA.
8. PROPO~DD~LAYDATES(ifapPlicable) .
~ " t:?
. SI~ PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
(Height)
(Width)
360"
(Depth)
7",."
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, tnIe and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all constnlction 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
thereOfmaYenteruponthepropertytoperfo=~.) <f /3f11! ",
~ATURE OF PROPERTY OWNE~GENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~omp""", AppU","..
. cale Drawing showing location of sign
~Ians and specg:QO
-IL.... Permit Fee S ( - (permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
BY~
Date 2..... 2-Ct ~eo
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 designee consti tes complian e with the Sign Ordinance. ,.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signform.doc
(
RECEIPT #36192
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
DATE:Jv\~ ~D.OlL
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for the purpose of
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Receipt Clerk f ,r the City of Prior Lake
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RECEIPT # 36107
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR tAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
DATE: 75- '3 ('t::7a,
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eceipt Clerk for the City of Prior Lake ?
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