HomeMy WebLinkAboutSign Permit 01-014
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City of Prior Lake
APPLICATION FOR SIGN PERIitr~ 0 2001
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Permit NO.fI/JiIiJI'fI!IT
DmEcnONS: One completed application per sign is required. Applicant ~
responsible for obtaining a building permit if necessary.
(ADDRESS)
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3. OWNER: (NAME) (ADDRESS) ( r
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4. SITE ADDRESS OR LOCATION OF SIGN
'''01;0 -a". , ecu.. At,J.-.&.e:. .
-Set~ 5...tte 01- ~ ~ V..~ -S.""I-- r
s. TYPE OF SIGN: TEMPORARY(21 DAY MAXIMUM DISPLAl? 'ALL/MARQUEElAWNING/FREEST.4NDING)
Balloon* Banner*Busbutss*CIuIn,etlbk Copy Slgns*Constnlctlon Slgns*lUumburted Slgns*lnstltutlolUll Slgns*LtIke Service Slgns*
Multlpk ResidendtIl Nrunep/Ide Slgns*On-Premue DIrectloIUll Slgns*Pernuuumt WIndow Slgn*Porlllbk Sip*Subdlllision ldentljlclltllln SIgns
6. SIGN DIMENSIONS
(square feet) (Height)
~CI.
7. TYPE OF CONSTRUCTION
Ct*t~
8. PROPOSED DISPLAY DATES (if applicable)
2. APPLICANT: (NAME)
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1. PARCEL LD. OF PROPEJUY:
..s;- A\-~'s /lkJd)'f'I"';
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(PHONE)
9$Sl ~1-OlV9t"
(PHONE)
(PHONE)
10. Estimated Value of Sign
(Width)
If) ~ ~
(Depth)
ft;H
11. Completion Date
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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 lmowledge, 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 wm 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 to perform needed inspections.
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FOR ADMINISTRATIVE USE
r/~/~'
I5ATE
SUBMISSION REQUIREMENTS
~ompleted Application
~Scale Drawing showing location of sign
.....l...L Plans and S~ rllI19
~ennit Fee S -X;/ ~ (pennit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
BY~'~~-
City PI~~~i;-~ ~
Date ~ !'JICt-lbt
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.
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