HomeMy WebLinkAboutSign Permit 00-29
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~&O-- (01...9
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)
f1I'Y1IUW\ S l&.-N5 ~ 372>
(NAME) (ADDRESS) 1>
~6~
4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
Y7<J"'/ ~~
(PHONE)
1(P P '8
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PERMAN. 'ARQUEElAWNlNG/FREESTANDING)
Balloolf* Banlfer*Busilless*ChangealJle Copy Siglfs*ColfStnlcnolf Siglfs*Rlumilfllted Sig dollal Siglfs*Lalce Service Siglfs*
Multiple Residential Nameplote Siglfs*OIf-Premise Directiolflll Siglfs*Permlllfelft W-",doltl Siglf*POrtllble Siglf*Subdivisiolf Idelftijiclltiolf Signs
(PHONE)
9!""";}-1O 4-3s--C 3 3 r
6. SIGN DIMENSIONS
(square feet)
,~ l2('
(Height)
~'IA.
7. TYPE OF CONSTRUCTION , I
~~*~ Iffo~ fJllf~<:-
8. PROPOSED DISPLAY DATES (if applicable)
(Width)
17 ~ V'
(Depth)
I ~
10. Estimated Value of Sign ~ ~
11. Completion Date
-J.~OU
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 loca1laws and will proceed in accordance
with submitted plans. I am aware that the C' er can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to rm n . pection
1(-2....:2- .-c:::o
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
=tZ"Scale Drawing showing location of sign
-----Plans and Specn i""ot.Io.
~ Permit Fee $ .::x:;.,r- (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 t l/~? /B1J
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.
, 1"2:>
I:\handouts\signform.doc
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Premium Signs
26370 Peach Circle
Shorewood, Minnesota 55331
i;Phone: 952-470-1830
Fax: 952-470-1728
Project:
Date: /0.-:1..7- dO
Approval:
,.
11;2
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25 Foot Store Front
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