HomeMy WebLinkAboutSign Permit 10-020City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. J`~~"~D ZD
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OP' PROPERTY:
responsible for obtaining a building permit if necessary. ~- ~>
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
~
5. TYPE OF SIGN: TEAIPORAR3'(21 DAYAIAXIDIUMDISPLAY) t
- NE 'ALL/h1ARQUEE/AIi~IVING/FREESTfIND/NG)
Balloon x Bnaner"l3usiness%Chnngenble CoP3~ Signs'`Corrstrrtcliar Sig, "Illunrinnle~l Signs nsfilutionn(Srgnsxl nke Bernice Signs"
Ahdtiple Resitlentin! Nameplate Signs"On-Premise Directional Signs``PermanPrtttl~iloiv Sign'`Portnble Sign'`Subrlivision 4lentifrcnlion Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
~G. ~ 2.3 ~. 9 I1. Completion Date
7. TYPE OF CONSTRUCTION
SCE QTIGPhP~
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereb}~ certif}~ that I have furnished information on this application which is, to the best of my knowledge, tale and correct. I also certify that I am the owner
or authorized agent for the above-mentioned propert}~, 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 City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the properg~ to perfoms needed gispec ions. ~
y-27-/v
SIGNATURE OF PRO R ' OW ER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs
~
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Permit Fee $
Permit fee is set
•
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
City Planner or designee
Date y/2 7 ~/ O
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 Cit)~ Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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