HomeMy WebLinkAbout00-011 Sign Permit
10:46AM EM PRODUCTS
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--p# City of Prior Lake
APPl;..ICATION FOR SIGN PEBMlT
P.1/2
PennitNO.6t9 -~ () II
DUUlCTIONS: One completed application per lil11 b required. Applicant is
tespciDaible fer obtairiing a bWld.i::lg pemlit it necessary.
1. PARCEL 1.0. 0' PROPERTY:
2. APPIJCANt: (NAME) \ AN (ADDRESS) (PHONE) 't.(J-4", 0
VAL-Lt"-{ ~;~N I~~// uvi.,vT1'l.~ ~E fJL-<
, 3. OWNER: (NAME) (ADDRESS) (PHONE)
T606 .5 :3>80 G,1fl.Jf\Jw(}(A'';) ~tV I-/t-IO'- 9a.oo
4. Sm AoDJU:SS OR LOCATION OF SIGN (PHONE)
53g0 ~1'kJN4,.V()b Ltv' cl'l\ '?I2DDUc..<TS
S. TYPE: OF SIGN: Tm4PO/WC1' ~l DAY JfiAX1MllM DISPLAY) P6/lMANBN1'(WALLIMA~QUBElAW'N1NOIFREES'I'AND/Na)
1111II,,, * B.""..'....-."C".lIlrtlb1r Copy Slrlf,"CtI"'''MCflim SiI",*l1b1"""... Slt","l"lIilNlSfMllfp,*r..M S~ Sir",,,
JlII~ R~III,,,dIII N..,plc. Sips-o".p,.",it, /)",.",,1 SIll/I.'"'''''''' wr,,,I'1f/ SIr" .,.~ Sip'SllMi'IiJliHll.Il'~1I Sit",
6. SIGN.n~SIONS
(~ feet).
7;J.- Cv /6).
7. TYPEOFCONSTRUCnON JE~ CJfl. .
. 'B>ANNC~ l.J'SS~~ OAJ VO~~l~ o-P-l6.....i::}i.-.
8, PROPOSED DISPLAY DATES (ihppJic:able) .5.- 3,1 '- l.o ~ 6 I
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
10. EJtlrlUlted v.lueorSlp
~jlz..1
(Height)
(Width)
(Depth)
1 J. CDmplollOI Dace
I hereby eenily that t l1a'lC fIlmi.he' infDmlaticm on INJ applie.tion whloh il. to the Nit of my 1I1\owIedse, true I1Id ccrrec;t. 1 allo emit)< that I am ~e OMlll'
C1' authOl'lled 'Pftl'fbr che abow.msntioned praperty, U1d that .11 conllz1lction will confoml tel III exiftln, s~ alId local laws IN will proceed ill ~&
with submitted ,1lU\s. I am aWll!e chat 1M City PilMlI' em I'tllok. ell;1 JlCt"lit for jvll cau,e. Pul1llermme, I hereby 1llP"" that Ci1)' Omerial, or I dlSilll"
tltmofma. y. enrer l&poII the FOper\)' 10. P~..cd ed~ld inJilff~' .' _ .
C::::;t'"'V~ _-- 5--.30 o-OC).
lilONATt1P.!OF PR,OPER OWNERlAOEN'I' DATE
-
FORADMtNlSTP.A 'I'lVE USE.
SUBMISSION REQUIREMEN'IS
~1&t&d A'ppliOltiOll
ale Dmvin, mowins locatiOll of sip
_ P1anlll\d Spec:. ~
~t Jlee S I -c;.. (pennit fee i. uc
It timl o( appJicatiotlac inl eo a1'Pl'Clved Ichtdvle)
This AppllcatloD bec:omes yo Stp Pt'nUt when approved.
By
Date
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