HomeMy WebLinkAboutSign Permit 10-044 lease
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~`' ~ City of Prior Lake
~'~' APPLICATION FOR SIGN PERMIT
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Permit No. s ~ - ~~~
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I,D. OF PROPERTY:
responsible for obtaining a building permit if necessary. ~~ j ; ~ ~ _
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2. APPLICANT: (NA
ME) (ADDRESS) -! ~~h;`~ r ,., !,'i~ y/ ,1/).q; (PHONE)
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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: TEAIPORARY(21 DAYAIAX/bIUAfD/SPLAY) PERMANENT(13'ALL/nfARQUEE/A1I'NING/FREESTr1ND/NG)
Balloon" BmmerxBnsiness~Cluurgerrble Copt Signs"Coaslrnclion Signs"Illtnniimled Sigrrs"btslitulio~trrl Signs'`Lake Service Signs''`
Alulliple Residenlinl Nameplate .Signs"On-Premise Directions! Signs"Permnnenl II'inrloiv Sign xPorlnble Sign `Snbdivisia~ Identifrcnliort Siges
6. SIGN DIMENSIONS 10. Estimated Value of Sign .-~ ..~~~~ ~ ~='
(square feet) (Height) (Width) (Depth)
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11. Completion Date
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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 information on this application which is, to the best of my knowledge, true and correct. I also certify that I am the o~~mer
or authorized agent for the above-mentioned propert}~, 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 to perform needed inspections.
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SIGNATURE OP PROPERTY OWNER/OWNER RF,P DATE
PRINTED NAME OP PROPERTY O ~NER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~~ Completed Application
~__ Scale Drawing showing location of sign
Plans and Specs - - ~
Permit Fee $ r -'' ~- (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
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By r;s~.~/ ~%r''
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phis is to certify that the request in the above application and accompan}~ing documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, when signed by the Cit}~ Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions ~''') G1 c~ ,'/.; e l l;l,,-~ 'i. ~'~ 1`.;. ., t / i .;A.,a'4'~ ~'t~t~~!_r
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24 Hour Notice for All Inspections- d47-9810
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