HomeMy WebLinkAboutSign Permit 10-053~~ ' ~'t•r~ ~ City of Prior Lake DATE RECD: '` 0- OS-~ (~
A~t~LICATION -
Or° - Permit No. ~' I ~Ci S j
DIRECTIONS: One completed application per sign is required along with a 1. PARCEL LD. OF PROPERTI':
schematic plan showing dimensions and a Public Property Use Permit.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
3. OWNER OF PROPERTY: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION'OF SIGN (PHONE)
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5. SIGN DIMENSIONS
(square feet) (Height) (Width) (Depth)
6. TYPE OF SIGN (Banner or r_.}
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,SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE IN OMPLETE
BOTH PARTIES MUST SIGN APPLICATION:
[hereby certify that I have furnished information on this application which is, to the best of my knowledge, tn+e and correct. I also certify that I am the owner
or authorized agent for the above-mentioned proper[}', and that the proposed sign will conform to all existing state and local laws, specifically in accordance with the
City of Prior Lake Zoning Ordinance Section ] 700 (General Performance Standards) relating to banner and sandwich board signs, summarized on the back of this
application. [ am aware that the City Planner can revoke this permit for just cause. I am aware in the case of multiple tenants utilizing one approved location, 1 am
responsible for establishing a revolving rotation behveen businesses. Furthermore, I hereby agree that
City Officials or a designee thereof may enter upon the properly to perform needed inspections.
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SIGNATURE OF PROPERTY OWNER/OWNER REP. PRINTED NAME OF PR ERTY OWNER/OWNER REP. DAT f
1 hereby certify [bat I have reviewed the above information on this application which is, to the best of my knowledge, true and correct I also certify that I am the
owner of the business or organization, and that the proposed sign will conform to all existing state and local laws, specifically in accordance with the City of Prior
Lake Zoning Ordinance Section 1700 (General Performance Standards) relating to banner and sandwich board signs, summarized on the back of this application. I am
aware that the Cit}~ Planner can revoke this permit for just cause. I +~ a~~2~P ~n Pry Furthermore, I hereby agree that City
Officials or a designee thereof ma}~ enter upon the property to perform needed inspections.
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SIGNATURE OF APPLICANT PRINTED NAME OF APPLICANT DATE
hOR r1DMINISTRATIVE LiSC:
,SUBMISSION REQUIREMENTS
/" Public Property UsePennit
}~ Illustration of proposed sign ~sdth dimensions
k Completed application
Scale drawing showing location of sign including proximity to adjacent signs
Permit Fee $ 15
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ty Planr~e 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, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
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Special Conditions
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`-' 24 Hour Notice for All Inspections- 447-9810
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