HomeMy WebLinkAboutSign Permit 10-039City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No,~' ~ ~%~ _3~~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. .-, ,_ •t, , ; . ~~
(ADDRESS) (PHONE)
2. APPLICANT: (NAME)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE) t i t t _ ~~
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^PERMANF.NT (If'ALL/hfARQUF.E/A11'N1/1'G/FRECSTAND/A'GJ
5. TYPE OF SIGN: TE;1/PORAR3'(21 DA3';l/AX/~3fUh/U/SPLAY)
Rnl/non * Renner*Rusiness *Ctnrrgenble Cope Signs*Consn•uction Signs*1/luminnted Sigrrs*luslitutionn/Signs*Lake Service Sigrrs*
hlnlriple Resirlenria! tVnrneplrrle Signs*On-Prendse Direcliorrnl Signs*Peruranenl l39rrrlarv Sign *Porrable Sign *Subr/ivision /rlerrtij'rcalion Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign ~ '
(square feet) (Height) (Width) (Depth)
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
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SIGN PERMITS WILL NOT BE ROCESSED IF TH Y 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 [hat I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing slate 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. Purthernwre, 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 PROPERTI' O\VNER/OCVNER REP DATE
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PRINTED NAME OF PROPERLY O\NNER
FOR r\DM1NISlR,4'IIVG l1SE
SUBMISSION REQUIREMENTS
ti. Completed Application
'~_ Scale Drawing showing location of sign
Y'. flans and Specs _
~- Permit Eee $ (Permit tee is set
at time of application according to approved schedule)
This Application becomes ,your Sign Permit when approved.
City Planger 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. "1"his document, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
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Special Conditions -'r,~!'l:~ t~Rt/,:~~~ l.~- r ~"/M~~>Vt~ ~~ r~./~~¢~ ~~!^n ,/,..%Y` „in ~.f ~ ,~ S_~.~ ~
' iq' Hour Notice for All Inspections- dd7-9S 10
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