HomeMy WebLinkAboutSign Permit 00-06
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~efo
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICAN : (NAME) (ADDRESS)
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3. OWNER: (NAME) (ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
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5. TYPE OF SI TEMPORARY (21 DAYMAXIMUMD1SPLAy) PERMAlVENT (WALL/MARQUEE/A WNING/FREESTANDING)
Blll1oon* Banner*Business*Changeable Copy Signs*Construction Signs*IUuminated Signs*Institutional Signs*Lake Se11lice Signs*
Multiple Residential Nameplllte Signs*On-Premise Directional Signs*Permanent W"uulow Sign*Porlllble Sign*Subdivision Identijictltion Signs
bJ(fZI~
'-3>-,36 -0 0-/
(PHONE)
Cl""~ ~ Y7 Y'Ifr
(PHONE) o3..L {; J
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(PHONE)
6. SIGN DIMENSIONS
(square feet)
10. Estimated Value of Sign
(Height)
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(Width)
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(Depth)
11. Completion Date
7. TYPE OF' CONS~U.CTION
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8. PROPOSED DISPLAY DATES (if applicable) ,~;-P J-/?
SIGN PERMITS WILL NOT BEPROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished infonnation on this application which is, to the best of my lmowledge, true and correct I also certify that I am the owner
OT authorized agent fOT the above-mentioned erty, and that all construction will confonn to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the i Planner can revoke this permit fOT just cause. Furthennore, I hereby agree that City Officials OT a designee
thereof may enter upon the property to p ~e~de~ i~o
~ Ltl ;2-;)~-t5D.
IGNATURE OF PROPERTY 0 DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~Ieted Application
. Scale Drawing showing location of sign
~pansandspelS~ f'J~
...f.:L"Pe.:nut Fee $ (permit fee is set /; I:::::L/=-
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By ~ltk;~~
DateV' 2-6 ..(90
~60
l:\handouts\signfonn.doc
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N-10 D.F. NO FRoNT
SIGN #3 "'-ILLUMINATED
DIRECTIONAL
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 36181
DATE: /? - .2 g - (Sf)
Received of ~ I,4$.. ()j Am I~\
...--r-ol 1 ..A-r-i . ') .\ e-r.?/
the sum of . \ N 'y-< \ \' '>Ie" I't-eO
for the purpose ~f .~.) C) .p ~ l.~ <;~<. (:be: .~ tk<Jz.,J'~~\
I) J-JtR->J~ '-+v\.-~ !liDt:1 ~ (..a:s1A"\V~/L<. ~"
~ -. dollars
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- Receipt Clerk for the City of Prior Lake
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