HomeMy WebLinkAboutSign Permit 10-028 - YMCA bannerCity of Prior Lalie
APPLICATION FOR SIGN PERMIT
Permit No, ~~~® ~~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. Or PROPERTY:
responsible for obtaining a building permit if necessary. ~ ~~ ~ _ 1
t~~ } /
2. APPLICANT: (NAME) (ADDRESS) / :% 3~/ ~70~ (PHONE)
3. OWNER: (NAME) (ADDRESS) (PHONE)
~ 1
4. SITE ADDRES
S
OR L
OC
AT
ION OF SI
GN
-
(PH
O
NE) ~
~
~,
~1
,,
~
1
~
,n
-
}
5. TYPE OF SIGN: (CE-
EbIPORARY(3 DAYDIA,YIDIU/tIDISPLAY) PERbL4NENT(ff~ALl/FREESTANDING)
KBnlloon Bmmer~+ usntess"CGnngenble Cogy SignsxConstrrrction Signs'711rnnirmlerl Signs'`btslitutiaral Signs'Ln/-e Service Sigrts
DlydlipleResirlenUnl ntneplnleSiens~On-Pren:iseDireclionnlSigns"PernrnnenlifirrrlowSignTPorfnbleSrgn'Sabtlirisiortlrlerrtificntiort,Signs
6. SIGN DIMENSIONS lo. listimated Value of Sion
(Square Feet) (Height) (Width) (Depth) ___-n__ -~_z_-__- -_J
~~ ~~~~! j~ ~) ~
~ 11. Completion Date
7. TYPE OF CONSTRUCTION '
8. PR OSED DISPLAY ATES ~if app •cabl )
~~ G ~ ' ~ ~r ~ ~ ~ ~)
~.
SIGN PE I-TS_WILL N T 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 certify that I am the owner
or authorized agent for the above-mentioned property, and that all construction will coufonn 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 tbat City Officials or a designee thereof
may enter upon the property to perform iteeded,inspez;tions;~~r ,'' -~ `I
~•
SIGNATURE OI
PROPERTY OWNE AG}NT ATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs ~-°,~,~
Permit Fee $ ~ ,°- (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
~,--' City Plan
n
er or Designee
~
g
Date _ ~/~p // ~i
This is to certify that the request in the above application and accompanying docmnents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, when signed by the City Plamter or designee constitutes compliance with the Sign Ordinance. An additional Building Permit may be
required for certain permanent signs.( jam, ~I ~f ``~~ ~^ /f'~,
~~L(
~~
°" ~
~ J~ ~~~
r~
Special Conditions
/
/
1 ,
/'
Contact the Building Deparhnent with any questions
447-9850 from 8:00 a.m. - 4:30 p.m.
c:\documents and settings\jcorrow\nty documents\sign permits\sign permit application.doc