HomeMy WebLinkAboutSign Permit 00-015
1.-0.'-.----.,,-O----:------~-.-'-..---~-,.----.-.... ...
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. &e-ct~
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
1. PARCELI.D.OFPROPERTY:
2. APPLICANT: (NAME) (ADDRESS)
/ hP(e C )f7J ~ ('0 IkWOb Z !-n..
3. OWNER: (N) (ADDRESS)
~r1-' Aio r r .-j' 55''-, i) C 0 t/-f"'- vJvh'\. L~
4. SITE ADDRESS OR LOCATION OF SIGN
s-s-o 1) Ca L", S'LL, kiD 'I
5. TYPE OF
BaUoon fUlner
Multiple Residen
(PHONE)
?r- d.- - L/lf 7 -10 yO
(PHONE)
(PHONE)
9r~ - 'f v7--1 QY7:J
Y 1 DAY MAXIMUM DISP PERMANENT (WALLlMARQUEE/AWNING/FREESTANDING)
iness*Clulngellble Copy Signs*Construction Signs*/Uuminated Signs*Institutlontd Signs*Lake Service Signs.
ameplllte Signs*On-Premise DirectiontdSigns*Permllnent W'",dow Sign *PortJlble Sign*Subdivision ldentlflcatlon Signs
6. SIGN DIMENSIONS
(square feet) (Height)
3D ~ 4rar
7. TYPE OF CONSTRUCTION
~oL-~
8. PROPOSED DISPLAY DATES (if applicable)
10. Estimated Value of Sign
(Width)
t.e>k
(Depth)
11. Completion Date
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certifY that I have furnished information on this application which is, to the best of my Imowledge, true and correct. I also certifY that I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the' ner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to p 0 eeded jn ctions.
~
PROPERTY OWNER/AGENT
O~/.z?/ 07)
DATE '
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
VCompleted Application
-=- Scale Drawing showing location of sign
-=- Plans and speclS.ao
~ermit Fee $ - (permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
BY~~
Date C. ~ 2- ? -dO
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 constitutes compliance with the Sign Ordinance.
Special Conditions 1~ ~ ~~~ ~ ~y 2\ ~~ tA~
Jff~oo~ ~ ~~~ ~~<' ~fM.or~~7A7~
24 Hour Notice fi All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
I:\handouts\signform.doc
,~
1i
7_.J:HC1I~,.._.J'IIoI.IIM::I~I.J.:W.:.I:i1L'II:::U.'1~.Ioj:I:lllllll"".:I:::r.....Il'J=-:1.,:.l:t:.;-w:r.~~..M("":I.]:.I:II~I.::I..:I.]:I.)::t:-7
INDEX
COMPUTER INC.
5500 COTTONWOOD LANE, SUITE 104
PH 612-447-1040
PRIOR LAKE, MN 55372
FIRSTAR BANK OF MINNESOTA, NA
ST. PAUL, MN 55101 (612) 784-5100
75-1522/910
BR.13
ONE HUNDRED AND 00/100 DOLLARS
PAY
TO THE
ORDER
OF
1i
DATE
6/27/00
City of Prior Lake
Prior Lake, MN 55372
---=---
_ ~_ .:;..~. :::-~,. --.....':::; - - ... ----:::-::::~-...'t
---=-~......._ - - ":::"~_:"'~-=- -=-a._....
1I10..?gblll ~
iilft
~ -
,_.J:IlCiIl'lr.'..I.JloIlh11I::ll'..I--....:.1 :u~.. ::I...h'l.tf:l::::Il'jll.",. :IOI'.,..ll'''=-: :/',:.1::::1 :.:..:r'''-'~'''l'J1(et:I'I:.I :U(\II::I'. :{.):I.) :lI:_ I
INDEX
COMPUTER INC.
5500 COTTONWOOD LANE, SUITE 104
PH 612-447-1040
PRIOR LAKE, MN 55372
FIRSTAR BANK OF MINNESOTA, NA
ST. PAUL, MN 55101 (612) 784-5100
75-1522/910
BR.13
FIFTY AND 00/100 DOLLARS
PAY
TO THE
ORDER
OF
DATE
6/27/00
City of Prior Lake
Prior Lak~~,:,,~:::~_''',..._''''''.I.''.'"''''.''.'.I.,....lI..'.,,',....~''''''''H,,_,f31!.z:
III 0 . . ? g 5 III
----::..--- -
, -
_It..:- lI""bdbd;j".
i.alll
/"
.,
11796
NUMBER
AMOUNT
******$ 100.00
.,
11795
NUMBER
AMOUNT
*******$ 50.00
l