HomeMy WebLinkAboutSign Permit 10-046
City of Prior Lake
I~PPL~CI~'I'I®1~1 P®I~ SIGN PEI'T
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Permit No. ~' ~ "~U _~~C
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. -
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
3. OWNED: (NAME) (ADDRESS) .. (PHONE)
4. SITE A DRESS OR LOCATION OF SIGN (PHONE)
5. TYPE OF SI N: TEMPORARY(21 DAYr1tAXIDIUMDISPLAI) PERMANENT (iVALL/MARQUEE/Aif'NING/FREESTANDING)
Balloon * Bnnner'Brrsrrtess ~Cl:mtgenble Cope Signs'Construction SignsYllittntinated Signs'Institrrtiaral Signs*Lnke Service Signs"
bttritipie Residential Nnmeplnle Signs xOn-Premise Directional Signs `Pernmrtent Nindoiv Sign `Portable Sigrt "Subdivision Identificn/ion Signs
6. SIGN DIMENSIONS 10. 1/stimated Value of Sign
(square feet) (Height) (Width) (Depth)
/ -) ~'.t 11. Completion Date
7. TYPE OF CONSTRUCTION
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8. PROPOSED D PLAY DATES (if a lilicable, ~ -{`
SIGN PERMITS WII(,L NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have fiunished information on this application which is, to the best of my kno~~~ledge, 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 to perform needed inspections.
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SIGNATURE OF PI
O ER Y OWNER/O
NER REP ATE
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PRINTE AME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
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~ 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.
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City Planner o designee
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Date
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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 docum
nt, when signed by the City Planner or designee constitutes compliance with
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Sign Ordinance.
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Special Conditions ~f ~~.~J 7k.~ t~ ~_ /~~ ~ ~ ~ ~~ ~~•~ . t3 cS` -~ ~Y~"'-..° Y~ly'`c ('~~C--c-~_:
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24 Hour Notice for All Inspections- 4d7-9310
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