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.City of Prior Lake
APPLICATION FOR SIGN PERNIIT
Permit No. ~~
DIRECTIONS: One completed application per sign is required Applicant is i. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. ~ ~®~~ D ~~
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2. APPLICANT: (NAME) (AD
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3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
5. TYPE OF SIGN: TEMPORARY(21 DAYMAXIMUMDISPLAY) P ANEW i'AL ARQUEE/AWNING/FREESTANDIIV(,~
Bai7oon*Baaner*BusGress*ChangeabkCogySlgns*ConsbualonSlgns*I/lne~tnoted ns*In~ rflonalSigns*LakeSarvlceStgns*
Multiple Residential Nameplate Signs*On-Pren~ise7Nrealonal Signs*Parmanent R?ndow Sign *Portable Sign*Subdivlsion Ide~tlJicatton Signs
6. SIGN DIMENSIONS _ _ 10. Estlmated veins of Sign , ~~ w
(square feet) (Height) (Width) (Depth)
. ~ 11. Completion Date n n
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BF, PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have finnished infom>ation on 'application which is, to the best of my knowledge, hue and correct. I also certify that I am the owner
or authorized agent for the above-mentioned prop ,and that all construction will conform to all existing state and local laws and wrll proceed in accordance
with submitted plans. I am aware that the Ci er can oke this pemrit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perf eeded ' 'ons
OF PROPERTY~WNER/AGENT A
FOR ADMIMSTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
~~ale Drawing showing location of sign
v' lens and Spec
it Fee $ °~ (Pemtit fee is set
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at time of application accordmg to approved schedule)
This Application becomes o r Sign Permit when approved.
sy
or designee
City Planner
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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
s compliance with the Sign Ordinanc .
requested. This documen when signed by a Ci Planner or designee constitute
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Special Conditions ~1
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24 Hour Notice for All Inspections M ^ _
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.447-4230 from 9:00 a.m. -10:
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