HomeMy WebLinkAboutSign Permit 10-057 - MGM electronicCity of Prior Lake
~~ APPLICATION FOR SIGN PERMIT
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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.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE) `~~~~~~?~%a
3. OWNER: (NAME)
(ADDR
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(PHONE)~'.~ ~ _ ~~
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4. SITE ADDRESS O LOCATION OF SIGN (PHONE)
S. TYPE OF SIGN: TEAIPORARY(2/DA }'A/AVAIUdIDISPGA }) PER,}/ANENT({!'ALL/d1ARQUEE/A11'n'IR'G/FREESTANDING)
Balloon*Business*Chnngeuble Co/~t~ Signs*Cons/ruction Signs ~ Electronic i}/essuge~Aluminnted Signs*/nstihdionnl Signs*Lnke Service Signs*
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~}1rr/tiple Resideutinl Nnnreplnte Signs*On-Premise Directimml Signs *Pernuiiienf N'indnm Sign *Portnble Sign *Subdirision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign ~.~s
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(square feet) (Height) (Width) (Depth) /
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~~,~ 3/'' ~~~'~~ ~ 11. Completion Date
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7. TYPE OF CONSTRUCTION
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8. PROPOSED ISPLAY D
ATES (if applicable
SIGN PERMITS WILL NOT BE PROCESSED IF THEI' ARE INCOMPLETE
I hereby certify that I have firrnished information on this 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 property, 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 Ciry Planner can revo [his permit for just cause. Furthermore, I hereby agree that Ciry Officials or a designee thereof
may enter upon the property to perfon neededs c~j,oras:
~ /, ~ /
SIGNATURE OF PROPS TY OWNER/OWNER REP DATE
PRINTED NAME P
P
O
ERTY OWNER
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FOR ADivllNISTRATIVE USE
SUBMISSION REQUIREMENTS
a Completed Application
}.; Scale Drawing showing location of sign r
~ Plans and S ecs ~ _~~- r" , `/
~PennitFee$ (Pennitfeeisset
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at tune of application according to approved schedule) ' ""' ~~ { ~';'1-VYtI'~`
This Application becomes your Sign Permit when approved.
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ity Plar~r or designee
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Date ~~' ; ~:~
This is to certify that the request in the above application and accompanying documents is in accordance with the Ciry Sign Ordinance and may proceed as
requested. This document, when signed by the City Planner or designee constihrfes compliance with the Sign Ordinance.
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Special Conditions
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LUrandouts\sign permit application 2010.doc
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