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HomeMy WebLinkAboutSign Permit 10-021City of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. $S-/~-Z~ DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY: responsible for obtaining a building permit if necessary. ~5~ ~~1, ~%~` -~,r 2. APPLICANT: (NAME) (ADDRESS) (PHONE) 3. OWNER: (NAME) (ADDRESS) (PHONE) 1l ~ 4. SITE ADDRESS OR LOCATION OF SIGN (PHONE) 1 ~' ~ 7 / S. TYPE OF SIGN: TEb9PORARY(21 DAYt11A\l69UAIDISPLA}) PERA 1 1 !PALL/DIAR UEE/AIPNINC/FREESTANDING _ ~ ~ I3n!loon'` Bmurer'`6rrsitress xChnngenb/e Copp Signs"Cortslruclion S'ign~*IT/iliir`iinled Sir nstilydionnl S'igns'`La/~e Service Signs'` dlultiple Resirlenlin! Nnmeplnle Signs^On-Premise Directional Signs KPerntmrent i1 rixlorv Sign KPorlnb/e Sign K.Subdivision ]rlentifrcntion Signs 6. SIGN DIMENSIONS l0. Estimated Value of Sign (square feet) (Height) (Width) (Depth) /. ~ ~ n ~ i ~ , n G /~ i/ I 11. Completimr Date 7. TYPE OF CONSTRUCTION SCl G~ r~aCGs C cf 8. PROPOSED DISPLAY DATES (if applicable) SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE 1 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 I am the o~~~rer or authorized agent for the above-mentioned property, 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 forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof may enter upon the property to perform needed ins ections. 2'1/~~~~ ~ C~~~-~- N - ~ ~ - /D SIGNATURE OF PROPERTY OWNER/AGENT DATE FOR ADMINISTRATIVE USE SUBMISSION REQUIREMENTS Completed Application ~_ Scale Drawing showing location of sign Plans and Specs ©p ~ Permit Fee $ • (Permit fee is set at time of application according to approved schedule) This Application becomes your Sign Permit when approved. ~. C it y Planner or designee y // JJ Date !/Z 7~~ ~ ~~ This is to certify that the request in the above application and accompanying documents is i^ 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 24 flour Notice for All Inspections 447-4230 from 9:00 a.m. - 10:00 a.m. c:\documents and settines\jmatzke\local settings\temporary Internet files\olkl 13\sign permit application.doc ~+mo~ma ~n g~~~~~ 3~`33,o aj C ~gffi ~~ 3 ~i Fa O S E _ ~ H ~ ~ S f' N S E ~e b~ N .~ • V W rvw~\