HomeMy WebLinkAboutSign Permit 01-011
I ._........___.___...~_.........___..L
I
I
i!
City of Prior Lake
APPLICATION FOR SIGN PERMIT
@
Perm.itNo. Qf -01/
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building p~..~.: ifnecessary.
1. PARCEL LD. OF PROPERTY:
.;<.~- 03,;;l.. -0;'0 ,. 6
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
/;J .(.J..(;"'Vt</ 1"!5/~t Ol7fL. ddM'~/./.d. J ~~~.;l- ft~/of~ C'/tdn/~ ~ o/~7~ t/3p-o
3. OWNER: (NAME) (ADDRESS) (PHONE)
;:e~'~L c,.e/7mL ~R"f7I1/(71q 5 CS~7/L ) <S',-r./,..A: )
4. ~.uJ!. ADDRESS OR LOCATION OF SIGN (PHONE)
t~~~ ~ot:- ~ 14V~ (s /1-17// ~
5. TYPE OF SIGN: ~ORARY(21 DAYMAx1MUM DISPLAfJ) PERMANENT(WALL/MARQUEElAWNlNG/FREESTANDING)
Balloon* Banner*BusJness*C1uUJgBlllHeCopy s/gns*ConstnlctJ.on Signs*I11umhuded Signs*IIL,j] ,..J.. lUll Signs*Lake Service Signs*
Multiple Residentltzl Nameplate Signs*On-Premise DirectJ.olUll Signs*Permanent Window Sign*Po11tJble Sign*Subdivision Identljiclltlon Signs
6. SIGN DIMENSIONS
(square feet) (Height)
ftJ,/ 7/f1tH ~~/A::.
3.:2 ~'
7. TYPE OF CONSTRUCTION
(Width)
(Depth)
~ 'I
10. EstImated Value of~
1(/-0
11. Completion Date
Svl -t' ~ ~
17 If -I' /J-L F.-e;#-/'1' ;L... 4J H --;;"";( A-f~.e
8. PROPOSED PISPLAY DATES (if applicable)_
.G,. /,;z. 7 -ru 7 / ~ ;l~/
. SIGN PERMITS WILL NOT BE PROCESSED IF .l.nJ!. i ARE INCOMPLETE
I hereby certifY that I have furnished inf........;;on on this application which is, to the best ofmy knowledge, true and _....w;. I also certify that I am the owner
or authorized agent for the above-mentioned 1'""1""';;' 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. Furtl.......wre, I hereby agree that City Officials or a designee
thereof may enter upon theproperty~:~Zt1 t. h 710/
...!fGNATURE OF JiRornAi {efWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
V'<;Ompleted Application L _ Y
\./Scale Drawing showing location of sign (or.. ~
. Plans and Specs ...-oP-
../ Permit Fee $ 7.::> (permit fee is set
at time of application according to "'.....v/ed schedule)
This Application becomes your Sign Permit when approved.
BY~C..~
_ (J~: 7:er or designee
Date l.o r ,;).-?-" f b I
. .
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.
Special Conditions ?6Y4rJ:R Q ~~ -4n 6- lb~ ~ \ ~
...A.Jc..U- rrL - ~.J..A -+- -\-D ~ y <.v\v)~"Cc'~ -=t-; ~ I () I . U
J \) - 0 24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
1:\handouts\signfonn.doc
"1 C 7/
I ' (2)
~ d-/
~
~ ~
~~
~
...
I ~ \) ( I
\'
/ ~
~
/
~ "
~ J
~ "
- ~ f 1}tV<lldt:l
/-.IJ"1