HomeMy WebLinkAboutSign Permit 01-010C~ PRIO.P .
,~ ~ ~ .City of Prior Lake
~ APPLICATION FOR SIGN PERMIT
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Permit No.
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. .
(PHON
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PPLICANT: (NAMES (ADDRES
)
2.
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3.0 (NAME) (ADDRESS) ~ (PHONE)
4. SITE AD RESS OR LOCA ON OF SIGN (PHONE)
5. TYPE OF SIGN: ORARY(ZI DAY ERMANENT (WAL1/MA1itQUEF/AWNING/FRF.E'S7ANDIN(,~
Balloon* Banner*Business* eable Copy Signs*Co n ns d Signs*InsAitrr~tonal Slgnv*Lake Bernice Signs*
Multiple Residential Nameplate Signs*On-Premise Direc~'onal Signs*Pernranent Window Sign*Portable Slgn*Subdinision Identi, fic~'on Signs
6. SIGN DIMENSIONS lo. Estimated Valne of Sign
(square feet) (Height) (Width) (Depth) /~/
~~ ~ ~ ~ 11. Complehion Date '1 , Cam, ~~
7. TYPE OF CONSTRUCTION _ G~ /.r,~~ ~~~ ,
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8. PROPOSED DIS Y DATE (if applicable) _~~ ~ ,~ ~ ~ ~ /
SIGN PERMITS WII,L NOT BE PROCESSED IF THEY INCOMPLETE
I hereby certify that I have famished information on this application whit ' , the best of my lmowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all con coon will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the Phumer can revo this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to pert n 'o
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IG ATURE PERTY O AG
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs ~~~ ~,~
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/~Pemrit Fee $ (Permit fee is set '
,, a__tll~h'me of application according to approved schedule) C~l.;} ~~t-1~~~
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This Application becomes your Sign Pe 't when approved.
1
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ity Planner or d signee
Date
This is to certify that the request in the above application and accompan g documents is in accordance with the City Sign Ordinance and may proceed as
or designee constitutes compliance with the Sign Ordinance.
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requested. This document, when signed by the City Pl
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Special Conditions--~''~,f' ~'YI ~~~'~-~ `~-~~~~
24 Hour Notice for All Inspections
447230 from 9:00 a.m. -10:00 a.m.
l:lhandoutslsignform.doc