HomeMy WebLinkAboutSign Permit 00-030
City of Prior Lake
APPLICATION FOR SIGN PERMIT
8:J-03CJ
Permit No. fX)" D_
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
(ADDRESS)
15I?7~ Fro..;., k.~i... TJ. ~E:. .t:t-/O\
(ADDRESS)
0oVe.-4-. A~") aJ-ooo {Ja.ra.~ ~
4. SITE ADDRESS OR LOCATION OF SIGN
,S 815" ,- YO-nlL;., T {I.
5. TYPE OF GN: T. 'PO Y 1 DA MAXIMUM DISP PERMANENT (WALLlMARQUEE/A WNING/FREESTANDING}
BaUtIOn II anne,. uamesallCh_geable Copy SigMIIConatruction "nallRlumillated SignallIMtitutional SignallLake Service Signall
Multiple R ential Nameplate SigMIIOn-Premise Directional Signa*Permanent Window Sign*Portable Sign*Subdivisi01l Identification SigM
2. APPLICANT:
'Scx.\O h
3. OWNER:
(NAME)
?CU~~G
(NAME)
(PHONE)
.!t-1O I
447-75"17
(PHONE)
? (I<.\'v t4.-LC2. 'ICf7-~'1tJO
(PHONE)
l/V 7-/!7
6. SIGN DIMENSIONS
(square feet)
(Height)
j'
(Width)
. J
5
(Depth)
10. Estimated Value of Sign el::!-
I
11. Completion Date
7. TYPE OF CONSTRUCTION
~ (~~S~)
8. PROPOSED DISPLAY DA... (if applicable)
Q{~.o.A.~ 10 - (kc. 31
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 permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property ~e~
SIGNATURE OF PROPERTY OWNER/AGENT -M~ ~Sl on
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mpleted Application .A.... _ . . .. ~ _
_ Scale Drawing showing location of sign . ~ ~tt1"\
Plans and spec,
JZ: Permit Fee $ S'1iP (permit fee is set
at time of application' according to approved schedule)
By
Date
e.S
24 Hour Notice for AIl In pections
447-4230 from 9:00 a.m. - 10:00 a.m.
I :\handouts\signform.doc
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