HomeMy WebLinkAboutSign Permit 10-29 bannerCity of Prior Lake
APPLICATION FOR SIGN PERMIT
PetmitNo. ~~®~~~~
DIRECTIONS: One completed application per sign is requn'ed. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtauiuig a building permit if necessary.
2 S. ool. v32 . e~
2. APPLICANT: (NAME) (ADDRESS) (PHONE) -
~j ~` ,~ /
G
'
`J 5
C
~
~
~
/
17
~
'
.
~'
. ~
-(,
J J"~
.
?<-i In ~Gf~
~
~
) SCE
'~ ~)L1G
~tf~'
PHONE
3. OWNER: (NAME) / (API~I~2ESS) , o ( )
~- U q Ci'~ Gal it ~/`t t S'~ r ~ ~ ~ ~ ~ UL~
~
'
~
'
~ 3
- S5 ~
r~ c ~, ~~ 5!.~~3 C~> %~- 5
C:~ ~G~ g.~ ,/U~ ~G~~~° ~~`j 9 ~~ ~ ~
~`t~ ~
(PHONE)
OF SIGI~V~~~i~'/i'ii'
S ORLOCATION
E
4. SITL'~ADDR
S
J/
~
/
/
j
~
' ~,
/ ~ ;~y~ r1 / y ~~ ~ o'\ ~~f~`{~ Jam` / /- / C~1' / -C~'~~ ~~~i"1 ~ 5 ~ 7~ ~ Sc~ ~~~ ~ °~j
5. TYPE OF SIGN: (C~REL-~(lN~)
~'"TEbIPORdR.YF30DAYMAXIDIUMDISPLAI~ PERDIANENT(iYALL/FREESTANDING)
`Bnlloo+tY Bm` ~~+er rrsiness~Clm~:geable Capy Sigra~Coratructior: Sigiaxllheminated SignsxL+stitutionnl SignsYLnke Service Signs
binltiple ResidenfiaCNanteplate Signs~On-Premise Directional SignsYPernun+ent IYilulow Sign "Portable Sign xSttbdivision Irle~+tification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign
th)
(Width) (De
i
ht
H
p
e
g
)
(Squar Feet) (
~/ ~~ ~ Ij t~~ /~
~" 11. Completion Date
7. P OF CONSTRUCTION
~~y/
8. PROPOSED DISPLAY DATES (if applicable) ~ . fl ~-'
~~ '~ :.2.s~1'~~ f~l f ~U ~~L~II~j' ~~b'Yt /'~~
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMP TE
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 prope ty, 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 C~t~lanner can revoke tl ~ pe it for just cause. Furthermore, I hereby agree that Ciry Officials or a designee
thereof may enter upon the property to perfor i na/ceded inspections.
/) ~j ~ ~s
SIG ATURE OF PROPERTY O R/AGENT DATE
FOR ADMINISTRATNE USE
SUBMISSION REQUIREMENTS
X Completed Application
Scale Drawing showing location of sign
1j//~i Plans and Specs
X Permit Fee $ /~7. a~ (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By
Ciry Planner or Designee
Date ~~ ~ c~ ~/d
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 City Planner or designee constihrtes compliance with the Sign Ordinance..An additional Building Pernrit may be
required for certain pernianent signs. /~ o
~
uGr ~a~~P~/~e7''Po~ar~f ~~~(
Special Conditions ~~~ ~XQ.t/-S' ~~~ 1i7~/+t~~
~ ~ ~-~ ,~~~~,GrL~~r 1~;~~,.~ .
Contact the Building epartment with any quest+ons
447-9850 from 8:00 a.m. - 4:30 p.m.
j:\forms\sign permit application.doc