HomeMy WebLinkAboutSign Permit 10-006City of Prior Lake
SIGN PERMIT APPLICATION
Permit No. SI ~D`d6
DIRECTIONS: One completed application is required PER SIGN. 1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
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2. SITE ADDRESS: 3. ZONING: ~-- ~
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4. APPLICANT: (NAME r (ADDRESS) (PHONE)
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5. OWNER: (NAME) (ADDRESS) (PHONE)
6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: Dnllaar Sign Dmrner Sign Construction Sigu Off-Premise Direclionnl Slgu Parlnble Sigu
S(remners mrrl Peuunuls S/reel Bmmer eurporrsry Slgu
PROPOSED DISPLAY DATES: From: ~/~/[(~ '1'0: ~//~_/Q
b. PERMANENT: Araning Sign Lrske Service Sigu Dfnrgrree Sign Freeslnurling Slgn Dfeun Bonrrf Sigu
Ou-Premise Direc/ionrsl Sign Permnueul Wiurloty Sigu Subrllvislmr 7dentificnliou Sigu IYrsIl Slgn
7. SIGN DIMENSIONS: $. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
X!' ~ ~'° ~ ~ / 9. PERCENT OF WALL COVERED BY SIGNAGE:
10. TYPE OF CONSTRUCTION/MATERIALS: 11. ESTIMATED YALDE of slcN:
CA/va~j 12. COMPLETION DATE:
A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building fi•mIt to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit fm• freestmtding signs over 6 feet in height.
I hereby certify that I have famished information on this application, which is, to the best of my knowledge, tme mid correct. I also certify that I am the os5aier
or authorized agent for the above-mentioned properly, and that all constmetion will conform to all existing slate and Ioca1 laws and will proceed in accordance
with submitted plans. I am aware that the Planner can revo}:e this permit for just cause. Furthermore, I hereby agree that City OBicials or a designee
thereof may enter upon the property to rfomu
ded in
s
pections.
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IGNATURE OP PROPERTY ER/AGENT DA
--------___-- This Application becomes your Sign Permit when approved. _____-__________~__ ____
FOR ADMINISTRATING USE ONLY:
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Perm
t Fee S
(Note: Permit Cee is set at time of application according to approved schedule.)
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CITY PLANNER OR DESIGNEE 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
requested. This document, when signed by the City Planner or designee constitutes com
pliance with the Sign Ordinance.
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Special Conditions: ~a ~r(~ ~f c~0 Gfee,v-f !r'L ZD/O
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24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
h:\templates~signform.doc
Scott County, MN
This draxvg Is rieiNer a legalty remrtletl map rwr a sunrey and Is rwt
inteMed to be used as one. This tlravring Is a camp la6on of receNs,
informaEoq and data baled in vaibas tlty, wunty, antl state offices, and
oNersources aReGing the area shann, aM is to be used for reference
purposes o~dy. Swtt County Is not responsTie for any inauurades herein
mntaired. If d'~screpandes are faits, please conlaU Ne Swtt County
$VNByO rs OKI Ce.
Map Scale N
1 inch = 77 feet
W E
Map Date ~ "~- )
2/5l2010 3 ~~~~~G