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Sign Permit 00-007
-. " .~ City of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. {%!)~D'l DIRECTIONS: One completed application per sign is required. Applicant is responsible for obtaining a building permit ifnecessary. 1. PARCEL LD. OF PROPERTY: 2. APPLICANT: (NAME).l (ADDRESS) .~ ,~ vJQo..,-.. JM~ ( r-/~~ 3. OWNER: (NAME) (ADDRESS) . H 0 '-"~ J.V"\ ~ ,-",r~ 4. SITE. ADDRESS OR LOdATION OF SIdN H v.- I J f-. (iJ (LA '-f 2- 5. TYPE OF SIGN: 'EMPORARY(21 DAYMAXIMUMDISPLAY) PERMANENT(WALLlMARQUEE/AWN1NG/FREESTANDING) BaUoon* Banner*Business*ChlUlgeable Copy $igns*Construction Signs*muminated Signs*Institutional Signs*Lake Service Signs* Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent W"uulow Sign*PorUlble Sign*Subdivision ldenti.ficlltion Signs o~{ (LI"J..~ C; rJ<. /oJ~~ I 3 3 - J CJ 'f -0 0 7 -- (.) (PHONE) YC{7 Yjf'S"' (PHONE) 8 j;L t }'i Gt5 >.Jv~ () (PHONE) 6. SIGN DIMENSIONS (square feet) (Height) 10. Estimated Value of Sign (Width) (Depth) 11. Completion Date 7. TYPE OF CONSTRUCTION L;,S h. r<-/ ~ /'-1, 1ve .... 8. PROPOSED DISPLAY DATES (if applicable) 3 ._/ - "3 -19 SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE , I hereby certify that I have furnished infonnation on this application which is, to the best of my knowledge, true and com:ct. I also certify that I am the owner or authorized agent for the above-menti 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 the Planner can revoke this permit for just cause. Furthennore, I hereby agree that City Officials or a designee thereof may enter upon the property, perfonn eeded' cti cXp~jcJ . DATE ": FOR ADMINISTRATIVE USE SUBMISSION REQUIRE1!IENTS I /rompleted Application ::jz'Scale Drawing showing location of sign Plans and specZ S""oDO tI 100 a:> '^ . ~....ft- V""'" Permit Fee $ _ (permit fee is set -t .~ at time of application according to approved schedule) This Application becomes your Sign Permit when approved. By~(f "--~~A ~anner or designee Date ~, 215 190 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 con^titutes compliance with the Sign Ordinance. Special Conditions ~D ()I.) , 24 Hour Notice fo 'I>l ections 447-4230 from 9:00 a.m - 10:00 a.m I:\handouts\signfonn.doc ( "TO:';, 'Cii'( Ot: P~O(2.-~~ -13 L-DG O~-yr: :rW? . 15 rft~ '.SI.6;'J ~T- p,e,tu..'s . 1" '~"; ;. rJ...'.;.,,:'-''': ~ ;',: r'.0 ion r:u.: v00 U. i.. 0 i/ \U-' v~P~... ,li;I~fC'..-J-\j. ~ . - j. 'pti~;:'1-: :. f!:>i.- ." . 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