HomeMy WebLinkAboutSign Permit 00-017
City of Prior Lake T-S'\ @ CS ~. O'tJ @
APPLICATION FOR SIGN PERM;l~ J\- 1
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DIRECTIONS: One completed application per sign is required.Applicant is
responsible for obtaining a building permit if necessary.
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(ADDRESS)
(PHONE)
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(PHONE)
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(PHONE)
(ADDRESS)
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CATION OF SIGN
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5. TYPE OF SIGN: 7: ORARY 1 DAYMAXIMUMDISPLA.Y) PERMANENT (WALVMARQUEE/A WNING/FREESTANDING)
Ballooll* Ballller*Business*Challgeable Copy Siglls*Collstrudioll SigllS*Rlumillated Siglls*IlIStitutiollal Siglls*Lake Service Siglls*
Multiple Residelltial Nameplate SigllS*OIl-Premise Dirediollal SigllS*Permanellt W'uulow Sigll *Porlllble Sigll*Subdivisioll Idelltificatioll SigllS
6. SIGN DIMENSIONS
(square feet) (Height) (Width)
&0 I -S';l.'C~h-') /~"
7. TYPE OF CONSTRUCTION
c--'(!,.~-h. k""~..4
8. PROPOSED DISPLAY DA
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10. Estimated Value of SIp
8.
~St:>C>~
.?/.30 (>0
11. Completion Date
s: ~ ,.tz;e'~ A''('~ ~~ ~
~ 60~"...
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 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 City Planner can revoke this p . for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perform needed inspec '0
7-/7- 00
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application
~e Drawing showing location of sign
~ Plans and Specs
~ermit Fee $ ~ CO (permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
BY~~
City Planner or designee
Date 7 - z ~ . c96:>
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.
I:\handouts\signform.doc
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PRIOR LAKE ST ATE BANK
166n DULUTH AVENUE SE
PO BOX 369
PRIOR LAKE, MN 55372-1436
75-9051919
.5390
$ 07/17/2000
*76.00 @J)ouou
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ffi Security lealures
I included
Details On back.
mNTIfJ SiIpt- 9'e1tmit fJee
I: 0 f ~ ~... o.J-- 1 ... 'i" . _ 1"'1111. 2111
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_.._~__.._____._________~__________~___ u __... .________________~____..________._______...
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT# 37327
DATE: ? - .2~. &;>
Received OfS~. ~~~~.4J ~~ (h~
Ihe sum 01 ~~ 2}- b vt ...j-- as>k - dollars
for the purpose of
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Invoice #
$ ?C c.5!-
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Receipt Clerk for the City of Prior Lake
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