HomeMy WebLinkAboutSign Permit 10-18 bannerCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.~'L' ~~-1 v~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. l
2. APPLICANT: (NAME) (ADDRESS) ~ (PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
1 ,~
223 ~~', r A Y ~ - ~r i ~r 1~1~~' rD~• ~jl,Ul ~~ n ~~O-L{2S~
5. TYP ~ -OF~S_)~GN: TEDIPORA2Y(21 DAYdIA,YIAtUDiDISPLAI~ PERtI7ANENT (If'ALL/DIARQUEE/ ~NING/1^REESTANDING)
Ballo txBnnr:e~'BusinessxCltm:geaGle Copv SigasYCotrslruction Signs `I/lrnninated Signs~Itrslilutional Signs'LnLe Service Signs"
blullip , rsrr entinl Nnnteplnte Sigt+s*On-Premise Directional Signs"Pernrmtenl ifrnrlorv Sign xPorlable Sigtt "Sttbdivisiott Irlenlifrcalion Sigtts
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
~~ /~ 11. Completion Date
7. TYPE OF CONSTRUCTION
~~~~ ~ ~+,yas ~
8. PROPOSED DISPLAY ATES (if applicable) ~~•t ` `~_ ~~~
I
SIGN PERMITS WILL NOT BE PROCESSED
IF THEY ARE INCOMPLETE
I hereby certify that I have famished 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-men roperty, and that all constnrction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware th the Cit} tanner can revoke this permit forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perfo neede i^ tiou
'~,-1~-I-1 ~
SIGN URE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ Completed Application
-3eale-DrawingSlSowinglocation ofsign
P~ansand-Spew' ~ A
,), Permit Fee $ ~ ~ (Permit fee is set C, L[ s~
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
~-~
_.----
;y: ~__ r
By.
/,~•' City Planner or designee
Date ~~ ~%~jC)
~~ i
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 constihites compliance with the Sign Ordinance.
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Special Conditions ~ ~/ it { ~~ ~ ~ ~~GY t~~ .~"Z~ ~ 5 / ~!iZ
24 Horn Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
c:Adocuments and settings\jmatzkeAlocal settings\temporaq~ Internet files\o1k113\sign permit applicatiou.doc