HomeMy WebLinkAboutSign Permit 10-013City of Prior Lake
APPLICATION FOR SIGN PERNIIT
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Permit No. ~ /U-~~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary. 2 ~. ~ ~ / . lj 07_
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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3. OWNER: ~i) (ADDRESS) (PHO~N1E)
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4. SITE ADDRESS OR OfCATION OF SIG (PHONE)
5. TYPE OF SIGN: E Pi-RA (21 DAYMAXIMUMDISPLA1~ PERMANENT(R'ALL/MARQUEE/AWNINC/FREESTANDING)
Bal[oon*Banner*Business angeableCopySigns*ConstructionSigns*llluminatedSigns*InslitutionalSigns*LakeServiceSigns*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
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7. TYPE OF ONSTRUCTION ii
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8. PROPOSED DISPLAY DATES (if applicable)
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SIGN'PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, tme and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that al const coon will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the C ty Tanner can rev this unit for just cause. Furthermor~I ereby agree that City Officials or a designee thereof
may enter upon the property to perform ne inspe ins ; I
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SIG ATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
X Plans and Specs
;, ~ Permit Fee $ fS (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By
City Planner or designee
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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,
w
hen signed b the City Planner or d
esig
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e constitu s compliance with the Sign Ordinance.
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Special Conditions li ~ r ~ c~ v ~~ S'.
24 Hour Notice for All Inspections _:
447-4230 from 9:00 a.m. - 10:00 a.m.
~2P SZ "d~ ` l~Z d-~~ ~/per al~~po5t~f e h~cl~
c:\documents and settings\jmatzkeUocal settings\temporary intemet £les\o1k113\sign permit application.doc
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