HomeMy WebLinkAboutSign Permit 10-032 Little Saints wallCity of Prior Lake
APPLICATION I+OR SIGN PERMIT
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MAY ~ :~ 2010
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Permit No. ~'~- ~ U - 3 Z
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. ~ ~ ~ ~ y ~U L/ ~
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
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d. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
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5. TYPE OF SIGN: TEMPORARY(2I DAYMAXGIIUAIDISPLAY) ER~'fIANE WAL l4ARQUEE/AWNING/FREESTANDING)
*
*
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*
*
Balloon
Bmui r
Bnsines
lrangeaGle Copy Srgns•
Construction Signs
Illrtntinnted Signs nshtutiorml Signs
Lake Service Sigiis
tYlult/p/e Residentia amep/ate Signs*On-Premise Direcfiona[ Signs*Permm~ent {Yindow Sign*Portable Sig~i*SuGdiv/sio~:Identification Signs
6. SIGN DIMENSIONS l0. Estimated Value of Sign
(square feet) (Height) (Width) (Depth) ~ Doi
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~J 11. Completion Date 5 /~
7. TYPE OF CONSTRUCTION
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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 infomration 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 [ha[ all construction will conform [o all existing state and local laws and tvill proceed in accordance
with submitted plans. I am aware that the Ci[y 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 inspections.
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SIGNATURE OF PROPERTY OWNER/AGENT DATE
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FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
X Plans and Specs
3~ 13
P
ermit Fee $ .
(Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
B y /~-~ ~ ~
~ City Planner or designee
Dale ~/2U~/ U
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This is to certify that the t'equest 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 constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
1:\handouts\2006 handouts\zoning\sign permit application.doc
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