HomeMy WebLinkAboutSign Permit 10-0051\O~'1 Pl ~ + r~ n (, i1 k~ vl'~
City of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No. ~ = ~ ~O •'
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. ~
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
3. OWNER: (N ME) ~ (ADDRESS) 4~`~S b~~~'t-l::c,.t `~ = ~~ (PHONE) Cl ~'~ y~j~c~
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d. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: TEAIPORAR}'(zl DA}'A7A.l'/AIUAlD/SPCA}) PERdIANENT f{VALE/bIARQUEE/A{i'N/NG/FREESTANDING)
Balloon ~` Bturner•xBusirress ~`C/rmraenble Cope S[gnsVCarstrrrctiorr Sigrrs"I(lumntnterl Signs"/rtsiihrtiortal SignsxLnke Service Srgrrs"
Alrrltiple Residenlinl Nnnreplote Signs'On-Premise Direclionrd Sigrrs xPermm~ent {i'indorv Sign KPortrrble Sign "Snbrlivision /derrfifrcntiorr Sigrrs
6. SIGN DIMENSIONS 10. Estimated value of Sign ~ ~ ~ ~ ~~
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(square feet) (Height) (Width) (Depth) ~> ~..~ ~ '~
~~ ;3141 ~~;°~t ~~,;1~+ ~ ~n '~~•~.~y~~ ,~ ~ ~ ;n 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 1 have fiunished information on this application which is, to the best of my knowledge, true and correct I also certify that 1 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 perfor`nf~t~eeded inspections.
SIGNATURE OF PROPERTY OWNER/OW ~ R REP DA'I'S
PRINTED NAME OF PROPERTY OWNER
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FOR ADNIINISTRAI'IVE USE
SUBMISSION REQUIREMEN"TS
.~ Completed Application
Scale Drawing showing location ofsi~~n
~- Plans and Specs
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r~ Peruit Fee $ _s ~.i (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
B,, ~~,~! %rl .
~ity Pl~or designee
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Date
This is to certifj' 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, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections- 447-9810
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https://mail.google.com/mail/?ui=2&ik=2721906de9&view=att&th=l2aef482439bd271 &at... 9/8/2010