HomeMy WebLinkAboutSign Permit 00-019
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
.
Permit No.1$lJ -e tft
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL LD. OF PROPERTY:
2. APPLICANT: (NAME) (ADDRESS)
~~C:-~tu ..E?l.4. ,(....~ "A...-(s- /'1093 ~~M(;7t~- 4v
3. OWNER: (NAME) (ADDRESS)
dm..l.... 1-/"hA6 ~^'" 1'~?.3 a""M(:~br: 4
4. SITE ADDRESS O~C~~~N OF SIGN
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY)
Balloon * Banner*Business*Changeable Copy Signs*Construdion Signs*/U nstitutional Signs*LiIke Service Signs
Multiple Resil/entUIJ Nameplate Signs*On-Premise Dlredional Signs*Permanent W-mdow Sign *Portable Sign *Subdivision Identification Signs
(PHONE)
'/',,"0 .. 8-~
(PHONE)
C/'~ ..a- ~
(PHONE)
6. SIGN DIMENSIONS
(square feet)
(Width)
c{f-
(Depth)
9~ 75"'
(Height)
t.(r
7. TYPE OF CONSTRUCTION
~t' e ~ ,rfel-t/c..t WI ~ 't..- F"
8. PROPOSED DISPLAY DATES (if applicable)
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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 knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and th 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 PI er revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to . sp ctions.
~ ~;{o
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
VCompleted Application
~Scale Drawing showing location of sign
~Plans and. spec~ l
~ermit Fee $ (permit fee is set -5 ~a:
,at time of application according to approved schedule)
This Application b~rAr ~ign Permit when approved.
BY~
City Planner or designee
Date e:,- q , ~
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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 # 3733.
DATE:
~;~ -00
for the purpose of
rs
Received of
-:. ......the sum of
Invoice #
$jD.~
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ilr __!!I!!.!li6.=-~_.... .:!i>b.
I COMMERCE BUILDING PARTNERSHIP
I,. . 14093 COMMERCE AVE
I PRIOR LAKE. MN 55372
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01"111
;;1 !Yi Marquette Bank
. A Prior Lake
Office of M8Iquette Bank, NA
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75-166410
910
0000811241 . ~
DATE 5"; r /00
$ :0.00
1675
DOLLARS (!] =."::'
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