HomeMy WebLinkAboutSign Permit 10-002 - NAPACity of Prior Lake
APPLICATION FOR SIGN PEI RNIIT
Permit No. 51 W - O o,Z
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS)
7& Y HO 3i�aa-
S(6" 1M19 , UW71 0, d G4, 7y0 7 42 6 ZiO
3. OWNLR: (NAME (ADDRESS)
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7/o" 4 1 I_ 53c 0
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
6 960 60,04 n sUe�
5. TYPEOFSIGN: TEhfPORARY(21DAYimmAfUMDISPLAI) PERIfAENT( JMfAfARQUEVAWNINGJFREESTANDING)
Balloon *Bmmer IIasbiess *Climigeable Copy Signs *Cmtstruellon Signs*Il laniiitatedSigns *Itistitntimial Signs *Lake Service Signs*
MnitipleResidentialNauieplate Signs *On- PfeudseDirectiouat Signs*Penamient 117ndow Slgn *Portable Sign *Snbdivistonldetity7calimi Signs
6. SIGN DIMENSIONS
10, Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
11. Completion Date
15 6 4 jo 1 n ! t ,
! Ot C7
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLAY DATES (if applicable)
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SIGN 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, we 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 forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform needed inspections.
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMfNISTRATIVB USE
SUBMISSION REQUIREMENTS
X Completed Application
Scale Drawing showing location of sign
Plans and Sp��
K Permit Fee (permit fee is set
at time of applicationaccording to approved schedule)
This Application becomes your Sign Permit when approved.
By / /.mot
City Planner or designee
Date 2l�
This is to certify that the request in the above application mid 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 `SJ�Lh J.$ 4f- leas !D A 0
A
24 Hour Notice for All Inspections
447.4230 from 9:00 am. - 10:00 a.m.
I:Viandoutsl2006 handomAzoning\sign permit application.doc
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