HomeMy WebLinkAboutSign Permit 10-034City of Prior Lake
APPLICATION FOR SIGN PERMIT
DIRECTIONS: One completed application per sign is requn-ed. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building petnut if necessary. ~ ~ ~ ~j ~ ZJ ~ J (~
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
Prior Lake-Spring Lake
Watershed district [ ~[ (}~Z (~ ~~ ~,~ ~; %~ ~ ~ ~ ~ ~[ ~2 . ~ ~'~ -~{ (~ ~
3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: TEMPORARY(21 DAYM.4XIMUMDISPLAY) PERMANENT({{'ALL/YIAROUEE/AIYNING/FREESTANDING)
SaJloon ~ Eanrter ~Busirtess ^Changeab]e Copy Sigtts =Construction Signs ~Ilhueinated Signs*Ltstihttional Signs ~Z.ake Service Signs
,Ylultiple Residenfral Nauteplafe Signs ^On-Premise Directional Sigtts ~Permmtent {Vittdow Sign ~Pot7able Sign'*Subdivision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign $325
(square feet) (Height) (Width) (Depth)
20 2077 107 f'~7
G 11. Completion Date `+~A~n010
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7. TYPE OF CONSTRUCTION
Reletter top face on b side of sign
8. PROPOSED DISPLAY DATES (if applicable) /~
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SIGN PERMITS WILL NOT BE OCES IF THEY ARE L~ICOMPLETE
I hereby certify that I have furnished information on this application which is, to the best of my latowledge, true and cotzect. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all conshuction will conform to all esisturg state and local laws and will proceed in accordance
with submitted plans. I am aware that he City Plamteyan revok th' p t forjust causz. Furthermore, I hereby a~ee that City Officials or a designee thereof
may enter upon the property to perfor needed
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SIGNA OF PROPER OWNEPJAGENT DATE
POR ADNLTNISTRATIVEUSF
SUBMISSION REQUIREMENTS
i/ Completed Application
/ Scale Drawing showutg location of sign
,v Ptans and Specs
/Pemut Pee $ ~ (Pernut fee is set
at time of application according to approved schedule)
This Application hecomes your Sign Permit when approved.
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i[y Planner or designee
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This is to certify that the request in the above application and accompanying doctunents is in accordance with the City Sign Ordinance and may proceed as
requested. Phis document, when signed by the City
lamter m' designee c
P
onstitutes c
ompliance
with the Sign Ordinance.
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l:\handouts\2006 handouts\zoning\sign permit application.doc
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