HomeMy WebLinkAboutSign Permit 10-038City of Prior Lalce
~ -?' ' ~~` APPLICATION FOR SIGN PERMIT
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Permit No. ~~ ~~~
DIRECTIONS: One completed application per sign is required. Applicant is I. PARCEL I.D. OF PROPERTY:
responsible for obtaining a buildu1g permit if necessary. ~ ,s- ~ ~~ .~ ~. v ~.
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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3. OWNER: (NAME) (ADDRESS) /~,~~5~ ~,•,S ~ (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
5. TYPE OF SIGN: TE<lIPORARY(~DAYMAXInIUMDISPLAY) PER]l1ANENT(!VALE/IIfARQUEE/A[I'1VING/FREESTANDING)
Brdloon"Banner*BusinessxChm:geable Copy Signs"Constructiar Sigies"I/laminated Sig~is"lirstitutianal Sigirs"Lnke Service Signs"
Dlnltiple Reside~rfral Nmneplnte Signs*O~:-Premise Directional Signs "Permanent If'indoiv Sign''`Portable Sign*Sabdivision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign ~ ~~~ C~LI
(square feet) (Height) (Width) (Depth)
11. Completion Date
7. TYPE OF CONSTRUCTION
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S. PROPOSED DISPLAY DATES (i ~-a
pplicable) `= ` , I~ ! } ~ _ /'~ I 1 + {~, ~ '3 G ~~~~~~i 5'
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
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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 abovementioned property, and that all cpiistruction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I atn aware that the/t;i~' Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the prope to pert l~f deedy t~ inspe~t9ds.
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SIGNATURE OF PROPERT/Y WNERlOWNER REP DATE
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PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
_~ Scale Drawing showing location of sign
Plans and Specs
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Permit Fee $ 1~-- (Permit fee is set
at time of application according to approved schedule)
This Application becomes yo
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Sign Permit when approved.
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By ,,~,,/ ~'> '
/~//ity Pla~tz r or designee
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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,
w''hen signed by the City Planner or designee c/onstitutes comphia~nce with th/elSigrOrdinance.
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Special Conditions ~~'~d1 i'Y~lt.a ~
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24 Hour Notice for All Inspections- 447-9810
d:\docume~l\salarso\locals-1\temp~~otesf6cc46\sign permit application.doc
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This drawing is neither a legally recorded map nor a survey and is not Map Scale
intended to he used as one. This drawing is a compilation of records,
information, and data located in various city, county, and state offices, and 1 inch = 74 feet
other sources affecting the area sho:vn, and is to he used for reference
purposes only. Scotl County is nol responsible for any inaccuracies herein
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contained. If discrepancies are found, please contact the Scolt County ap
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surveyors once. 7/16/2010
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