HomeMy WebLinkAboutSign Permit 00-031 Jewelry
City of Prior Lake
APPLICATION FOR SIGN PERMIT
w- ()3 (
Permit No. ~- OJ-iT
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit ifnecessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
~ ~ -r V.< Jo I~LrJOf
3. OWNER: , rAME) (ADDRESS)
(Z,w /kic ~/L l!iS7) ~~kl.~ !:all flf.
4. SITE ADDRESS OR LOCATION OF SIGN
[r-$I-c ~
5. TYPE OF SIGN: DAY MAXIMUM DISP 'RMANENT(WALL/MARQUEE/AWNlNG/FREESTANDING)
BaUoon*~usiness*Changeable Copy Signs*Constru on ,gns uminaled Signs*Institutional Signs*LaIu Service Signs*
Multiple R~I Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*PortJJble Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet)
1m
(Height) .-
;,.
(Width) --=> (Depth)
58
10. Estimated Value ofA!P
s&:?-
11. CompletIon Date
1-01
7. TYPE OF CONSTRUCTION
tflt1JU/ .
8. PROPOSE DISPLAY DATES (if applicable)
~'- 0/ ^--6-~'S
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, tnIe and correct. I also certify that I am the owner
OT authorized agent fOT the above-mentioned property, and that all constnlcti Oil conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planne ke is . fOT just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perform ed inspe 0
( uJ(
\J l<l. SIGNA
J J..- 0 7.-a;J (
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
~ Scale Drawing showing location of sign IL ~ /'
....::..- Plans and spec~ ..- r Z) 2)&- ~
vPermit Fee $ .s ~ (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
l[L/~/10
Date
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.
,l \.~ ~~
~.2$ UJt!V
.
l:\handouts\signform.doc
..~/"""~
0' - :D
:r CD
~ .... CD (')
- (J) CD
:r
~ CD C <"
"0 3 CD
c 0 0-
.... - 0
"0 -
)~ 0 -;:;
(J)
CD
0
-
..........:
m"1Jm(')
......:Dl\) -
l\) 5 0 --i
~:Do -<
~rm 0
-...j)>)>
~"G>"
l\)mr
~- m \J
- S:C1 JJ
"Z:D_
)> m 0
XC11m
_C11"JJ
a>c.:l
...... -...j)> r
l\) l\) < )>
- m
:t en"
-;-J m m
~
l\)
1 ~
C11
:D i\ ~\
CD J \.
(')
CD
-c"' -~J, } :;- ~- I
-
C1 r < '- I :II
CD 0 ~> I 0 m
.... 0" ~ ()
'" CD I
0' ::!l:: m m
.... 1J
-
:r I -I
CD I
e-- =1:1:
C1 , W
;::;.: I
'< w
0 ~ CD
- I ~
"1J (J'1
....
0" ~ w
....
r ~ 0
11l
'"
CD 0-
g
11l
Ci3
\
\
\
t;\~ ::" . -'" --:: -- .'~ . J ~-... <.; -' ..... !~... ~. 1
*0;;'-
~. .~, ........ I;" JAMESF.HAMILTON, V
". . .. .III -- --1Ir1:" PH. 9528909119
_ 14449 HOLLOW PARK LANE
BURNSVILLE MN 55306
P~~~~:!'to.:!~
,.......... A.prio'~eBank
Office of Marquette Bank. NA.
16817 DuIUlh Ave. S.E.
'Prior Lake. MN 55372
12-99
._",N- 1354
Date
().. - 7....a (j
.
75-'1664/910
110
$~ (~t:f)
";~''CS~''''<~yS~f!!!J:W!~i'JP-!'1:N;-
--------
_ Dollars
,';'jf->'''-
--ffl-'~'
>",:iHf'firlY'
"t&;fJ!;ff;#;;f:t~ii\)J/"-'--"
.
~E:..~:,.~f[t"_.- _.C"
-""-: -= .::~- ~ - - -- ----
- ---:;: - --- - -.- -----=---- ----..
i;%'rY*~_.:~.::::,:;:-::;ffl)0~-;~if-_:-'- ',,' ,,"
,~..,~~,~~~
\
For
;w-
--
.Ii
'. ,:/",,~j.#kC"
':i6
,,""
JAMES F. HAMILTON, Vr
II -PH. 952 890 9119
14449 HOLLOW PARK LANE
BURNSVILLE MN 55306
12-99'
Date
( 1-~ -a:J'"
Payte the
Order of
.., MarquetteB8nk
_Prior Lake
Office of Marquette Bank. NA.
16817 Duluth Ave. S.E.
Prior Lake, MN55372
For
~;;
~:
./
--
//
S"
L~
~
c'
c
........
\\)
~,
~
Q
(."
"- _./
-~
~
1---
.....
/./
. .
,),:";,
RECEIPT
-......,.. ,
CITY OF
PRIOR LAKE
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372
DATE tVJteo
J)~N\,~~ 4
Received of ~/\,~ ~~ ~ ev'\
The sum of C)14L ~~Q~vd ~ ~/~-
DEPARTMENT:
~ dollars
For tb~e of ~ ______
~~ ~y 'i GvJ~
6cv>~ ~ ~ J-~ t
~ <1J~ - _ r~p V.)clL-l# - J
lA.}\~", ~"b."\ V~.'I.~"4~ ·
$ _I. c9.9 ~
Account #
./? 'I ~
~
Receipt Clerk for the City of Prior Lake