HomeMy WebLinkAboutSign Permit 10-033City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~~ - /Q- _3
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) (PHONE)
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADD SS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: (CIItC E ONE)
EMPORARY(30DAYMAXIMUMDISPLAY)~j PERMANENT(13~ALL/FREESTANDING)
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`Business "Cl:aagea 7~y Sig/a xCoratruction Signs Y7lkuninated Sigas "I/1Slll1[t10/7[/l S[g11S "L[[/CC Se/ VIC2 Sfg[iS
Multiple Reside a Na/neplnle SignsYOn-Premise Directional Signs"Permm[e/It Ilr/rdow Sign "Portable Sign "Subdivision Idenfifrcatial Sigler
6. SIGN DIMENSIONS 10. Estimated Value of Sign ~~
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(Square Feet) (Height` (Width)
(Depth) ~
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11. Completion Date
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLAY DATES (if applicable) ~
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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 certify 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 City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property top or eded in pections.
SIGNAT OF ROPERTY OR/NER/AGENT DATE
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.
BY ~~t6 ~--
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City Planner or Designee
Date _ ~~2 ~/~/U
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This is to certify that the request in the above application and accompanying documents is in accordance with the Ciiy Sign Ordinance and may proceed as
requested. This document, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance. An additional Building Permit may ue
required for certain permanent signs.
Special Conditions `P/f!/X ~C~ ~~f/ l~~S~/.
Contact the Building Department with any questions
447-9850 from 8:00 a.m. - 4:30 p.m.
j:\fom~s~sign permit application.doc
Scott County, MN
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This drawing is neither a legally recorded map nor a survey and is not Map Scale
intended to be used as one. This drawing is a compilation of records,
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information, and data located in various city, county, and state offices, and ee
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other sources affecting the area shown, and is to be used (or reference
purposes only. Scott County is not responsible for any inaccuracies herein Ma Date
contained. If discrepancies are found, please wntact the Scott County p
surveyors office. 5/20/2010
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