HomeMy WebLinkAboutSign Permit 00-022
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
/70.. t!J; 22-
Permit No. ft9 ~ 2 f!}
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)
'1<~ LH.{{offUkr('ee.- 1~l1U c&v1t~( fl3-
3. OWNER: (NAME) (ADDRESS)
~UfJ-Ib-J ~
4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
952..~ ~t(7 -~_n {p
(PHONE)
'1n. y<(t7 - ~ S-I L,
(PHONE)
Lf~i(p (:) 0 S€
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMANENT 'ALLlMARQUEElAWNINGlFREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*ConstrucJJon Signs*muminate Igns*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise DirecJJonal Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet)
32-
7. TYPE OF CONSTRUCTI
41Vl~j~
8. PROPOSED DISPLAY DATES (if applicable) Q 3
7'- ()~~
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
(Height)
'",
(Width)
g'
(Depth)
10. Estimated Value of Sign
-0
11. Completion Date
-'
I hereby certify that I have furnished infonnation 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 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 perfo ded inspections.
q - ;) ?r .)/(}n)
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
?ompleted Application
_ Scale Drawing showing location of sign
v-l'lans and Specs
/Permit Fee $ 3 O~ (permit fee is set
at time of application according to approved schedule)
This Application becomes y?^ Sign Permit when approved.
BY~~/1
City Planner or designee -
Date ct !?-~ (cOO
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.
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24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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