HomeMy WebLinkAboutSign Permit 00-021 - wall
,._........._,........;......~.......:.., ..~.~. ..~.^:.._r......_:L......... .._...:;.;:..,....".,.,.........""'"";O.-.....;;."."-......~._..........~~..,,,.:,;~..;....'".".~....."',.~...;.-..,....~,.. ~[
City of Prior Lake
APPLICATION FOR SIGN PERMIT
C'zt
Permit No. t.V -e::i4
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (NAME) (ADDRESS)
2eoH- f; ,c~1iJtpt~ &J. t/~9() wlt)r~oW /51-.
3. OWNER: (NAME) (ADDRESS)
(PHONE)
, ;2~ C; ~ '::}{J6:'J-
(PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN Eo..:> -t- 1?Qt.~ (PHONE)
4&90 CO{orfL.dD6f.on~o~tc;:;; a~t,"'1-055
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) ~Ef!!:1WALVMARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeab1e Copy Signs*Construction Signs*/Uu;;;rnarea ."gns*Insdtudonal Signs*LaU Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portab1e Sign*Subdivision Idendjkadon Signs
6. SIGN DIMENSIONS
( square feet)
) 0 -s- 1 5//
7. TYPE OF CONSTRUCTION
;J/0i5h~
8. PROPOSED DISPLAY DATES (if applicable)
(Height)
(Width)
II
(Depth)
10. Estimated Value of Sign .$ 9 w )< 3
11. co~;~te '/dO/ 00
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 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 permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to orm needed inspections.
( ?--/~-()O
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
"~ompleted Application
~~cale Drawing showing location of sign
~ Plans and Spech e\ ~
~ermit Fee $ ~ (permit fee is set
at time of application according to approved schedule)
g~~,
This AppUcaUon becomes [J;:lgn Permit when approved.
BY~ ~
City Planner or designee
Date %/2 1-/60
l:\handouts\signform.doc
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 3733!
DATE: ~ Z2- (){)
Received of
.............
-
the sum of
dollars
.
for the purpose of
*~(~
Invoice #
$
CjfJ,N
~
V\ ~ !'J
@
tD S. I V\ """""
0 .
Q.. 2;1 I c:
~ @ So ~
~
Co 2;1 .....
.... . @ 2;1
::J @
.
II
~
~
.
-
~
N
::;~
V"l ('1'a
~~
-..J
0"",,
~ ~ ;11
-..tJ
~C
N ('1'a
'-' ...
~~I
fA <- I
{:'
fA
o
u,
~
u,
-
~fl~
~~~
~
-
"""""
~
u,
-
'fl~-.~
~~~
P'Q
I~ .
"""""
I\J
~
'fl~..>
~~~.
P'Q
la
-
"""""
I\J
~
r-~
~
:::::
U,
'J
-
co
~
-
-
~
~
tD
Page 1 of 1
http: / /gis.co.scott.nm.us/ output/ altlayers_HWYGIS42846048306.png 9/17/2007