HomeMy WebLinkAboutSign Permit 10-027City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. - ~-~ r ~~ ~ ~
DIRECTIONS: One completed application per sign is required. Applicant is I. PARCEL LD. OF PROPERTY:
responsible for obtailiing a building permit if necessary.
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2. APPLICANT:
(NAME) (ADDRESS)
(PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: ( RCLE ONE)
TEAIPORAR 3' (30 DA P [YfAYIMUM DISPLA ~ PERMANENT (-NALL/FREESTANDING)
xBa/loon x~r-rerrBrrsiness "ChnngenG/e CoP7~ Signs "Corrsh•uction Signs'l//rrminnted Signs "Institniionn! Signs "Lnb~e Service Signs
AIrrlliple Resirlentinl NnnrepTnte Signs*On-Premise Directional SignsxPernnmerrt {f'inrlorv Sign~Por7rrble SignYSrrbdivision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(Square Feet) (Height) Width) (Depth) ~ ~~
~ 11. Completion Date
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8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, true and correct. I also certif}~ that I am the owner
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 Cit}~ Planner 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 needed inspections.
SIGNATUR - OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs
X Permit Fee $ %.5~. `~ (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By ~ ---~_z~~._.. ---
City Planner or Designee
Datc ~~ /~~
This is to certify that the request in the above application and accompanying documents is in accordance with the Cit}~ Sign Ordinance and may proceed as
requested. This document, when sinned by the City Planner or designee constitutes compliance with the Sign Ordinance. An additional Buildiug 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.
j:ACorms\sign permit application.doc