HomeMy WebLinkAboutSign Permit 10-014City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. s-r ~U- ~ y
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. AP
P
LICANT: (NAME) (ADDRESS) (PHONE)
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3. ~ (
NAME)
(ADDRESS) (P
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NE)
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4. SITE
AD
D
RESS OR LOCATIO F SIGN
(P
H
ONE)
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5. TYPE OF SI N: T MPORARY(11 DAYMAXIMUMD/SPLAY) PCRMANENT(WALL/MARQUEE/AWN/NG/FREESTAND/NG)
Balloon* Banner*Business*Changeable Copy Signs*Cons[ruction Signs*!lluminated Signs*/ns[i[utional Signs*Lake Servlee Signs*
Mulliple Residen[ia! Nameplate Signs *On-Premise Directional Signs*Permanen! Window Sign *Portable Stgn *Srrbdivision Identification Signs
6. SIGN DIMENSIONS l0. Estimated value of Stgn
$
(square feet) (Height) (Width) (Depth) ~0p ~ ~~
1 p 1 ~1
o 11. Completion Date
7. TYPE OF CONSTRUCTION
A ~ t/,M 1 ~ ~ f ~/~/~
S. PROPO E
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~ DISPLAY D T S (if applicable)
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SIGN PL~ZIZMI
T
T
S WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
[ hereby certify that I have furnished information on this application which is, to the best of my knowledge, true and correct. I also certify that 1 am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing stale and local laws and will proceed in accordance
with submitted plans. lam aware at the City Plan er can revoke this permit for just cause. Furthermore, 1 hereby agree that City Officials or a designee thereof
may enter upon the property to perfo ded inspec ' s.
3~ u
SIGN E OF PR PER Y OWNER/AGENT DA [:
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
K Completed Application
-
_
Scale Drawing showing location of sign
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1C Plans and Specs
_~_ Permit Fee $ ~S ~~ (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
Date 3/~///U
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 compliance with the Sign Ordinance.
Special Conditions ~~~C O/C {~'tdG/yti~[T - ~'10~ OK ~~aSS
c30 o(ayS PC/' ~oca~i ort o
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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