HomeMy WebLinkAboutSign Permit 10-023 - MGM bannerCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~~ ~® -~ .~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) (pgONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF
S
IGN (p O
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5. TYPE OF SIGN: (C +-6NI;j~---------~-~,
TEMPORAR P (30 DAPM.4A7MUM ISPl~i PERMANENT (WALL/FREESTANDING)
"Balloo Bannerk usutess `Chaugea opy r onshuetionSignsxltlununatedSigns"InstihetionalSigns'LakeServiceSigns
Multiple Reside mrreplate Signs"Orr Preutise Direcliorral Sigrrs"Perataneut meadow Sign "Portable Sign "Subdivision Iderrtifrcation Signs
6. SIGN DIIVIIJNSIONS l0. Estimated Value of Sign ~ ~'~
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(Square Feet) (Height) (Width) (Depth) ~
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/ ~~ ~ 11. CompletionDate~~~ ~~
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS RILL 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, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned prope ^ t~~Il construction will conform to all ercisting state and local laws and will proceed in accordance
with submitted plans. I am aware that the Ci can. revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform n eded ins fictions ~
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SIGN TURE OF ~ PERTY OWNER/AGENT ATE
FOR ADMINISTRATIVE USE
SUBNIISSION REQUIREMENTS
X Completed Application
Scale Drawing showing location of sign
Plans and Specs
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Permit Fee $ ~.1, p(J (Permit fee is set
at time of application according to approved schedule)
This Application becom
e
s your Sign Permit when approved.
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BY .//~~~- ~~ ~-s
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City Planner or Designee
Date y~3d ~/Q
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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 doctunent, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance. An additional Building Permit may be
required for certain permanent signs.
Special Conditions
Contact the Building Department with any questions
447-9850 from 8:00 a.m. - 4:30 p.m.
c:\documents and settings\jcorrow\my documents\sign permits\sign permit application.doc