HomeMy WebLinkAboutSign Permit 01-026
City of Prior Lake e
APP~ICA TION FOR SIGN PE~'IlT
Permit No.t2.{ -OUo
DIREcrIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
~t./YlI~I't~ A-1OI:J,r/~~
44T I ~ I
(ADDRESS) (PHONE)
I~ a{1 "/::xd "'ffc.."I/t.J6 Se: ~
f>MotM.~~ 'S'<f'7Sl 7fJOJ-- q'~7-;)~9/
3. OWNER: (NAl~) (ADDRESS) (PHONE)
~t.H OJ:' 'iT hi (e..Me:-~ Iwd/ ~ ~ u..A.A-~.,;- s.<<:. 95"01. - VY 7 - ~ Ii( 9 f
· p~ ,,/....~ hI.c.... ~od"'" 0-
4. SITE ADDRESS OR LOCATION OF SIGN, . (PHONE)
III ~O Vc;c..(",,*, Ne s..e. ~"" _ 'Lc../7 _ ~ Il....l'/
J:!"."...,. sid4' Z>~ . 7V~ TT CJ4r04 T
S. TYPE OF SIGN: TEMPORARl'(21 DAYMAXIMUM DISPLAY) (WALLIMARQUEE/AWNINGlFREESTANDING)
B<<llooll* BIIIIIID'*BlISbuu*C1uut,ellbk CIlPY SI,IQ*ClllUtnlctlIIlI Sl,u* IQ*lrutltutlIIlIIIl Sl,u*lAU Senlu SlgIQ*
Mu/t1p14 RaldMtltIl NIIIIIq'" Slgu*Oll-Premlse Dil'ectlIIlIIIl SJru*PII11IUUItI1It WbulIlW Slgll*Pllrtllbk Sl,"*SlIbdlvlsUJlluntljlClltllln SI,IQ
2. APPUCANT: (NAME)
~H 0/# S7: hllt.IM&4
6. SIGN DIMENSIONS
(square feet)
10. EstImated Value oCSlgn
(Height)
3:1"
7. TYPE OF CONSTRUCTION
&J~
8. PROPOSED DISPLAY DATES (if applicable)
(Width)
ro4'
(Depth)
dJ It
11. Completioa Date
R5A-,P
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
1 hereby certify that 1 have tbmished information on this application which is. to the best of my knowledge. true and correct. 1 also certify that 1 am the owner
or authorized agent for the above-mentioned property, and that all construction witt confonn to all existing state and loca11aws and will proceed in accordance
with submitted plans. 1 am aware that the City Planner can revoke this permit for juSt cause. Furthermore. 1 hereby agree that City Officials or a designee
thereof may enter upon the property to perfonn needed inspections.
~()'
GNATUREOFPROP~
Ii? /Q/
ATE I
FOR ADMlN1STRA TlVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
~ Drawing showing location of sign
P and Sr'3 we.
ermit Fee S t9 - (permit fee is set
at time ohpplic:ltion according to approved schedule)
Permit when approved.
By
Date
This is ~ certify that the request in the ~ve application 3l1d :lccompanying documents is in accordance with the City Sign Ordinance and may i'roceed :.
requested. This doc:umcnt, when signed by the City P anner or designee constitutes compliance with the Sign Ordinance.
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:!~ Hour Sotice ior AlIlnspcctions
~7-l230 from 9:00 un. -10:00 a.m.
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