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Home My WebLink AboutSign Permit 10-003 - NAPACity of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. $Z "/D - 63 DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY: responsible for obtaining a building permit if necessary. a 2. APPLICANT: (NAME) (ADDRESS) PHONE) X69- It'n- 5'5i S(6yu A, &16dZWN 700 7a1W' C &Z' rnEtaff+ nom- �s 3ZLa 3. OWNtR: (P AME) (ADDRESS) (PHONE) C ©% jL9b�S vii — 33c CD � 733 �. kac L W Aig � I n 4. SITE ADDRESS OR LOCATION OF SIGN (PHONE) �I & S 60 /60'o u c,c /1 5. TYPE OF SIGN: TEdfPORARY(21 DAYbfAniiuAfDISPLAY) PERiVMWNTOV ALL - AIARQUEFIAR'NLNGIFREESTANDING) Ball omt "Brauter *Bashtess ° Ckmtgeable Copy Signs *Construcdon Signs RlendteatedSigns`Ltstitulloua( Signs °Lake Service Signs* hfaltlpteReeldenflal NmneplateSYgns °On- Premise Direciioual Sigtts *Pennmtertt lf7adow Sign`PortableSign ° Strbdltdstott Identifrcatiwt Signs 6. SIGN DIMENSIONS 10. Estimated Value of Sign (square feet) (Height) (Width) (Depth) 11. Completion Date 6-O '6 1 w t ` i ) � 7. TYPE OF CONSTRUCTION S. PROPOSED DISPLAY DATES (if applicable) /0-2/00/0 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, hme and correct. I also certify that t am the owner or authorized agent for the above - mentioned property, and that all construction will conform to all emsting state and local laws and will proceed in accordance with submitted plans. I am aware that the City Planner can revoke this pemdt forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof may enter upon the property to perform need lrDpections. bp IDATE sia rORADAIMSTRATIVEUSE SUBMISSION REQUIREMENTS X Completed Application X Scale Drawing showing location of sign - - Plans and Specs C Permit Fee $ 33 0 %mrit fee is set at time ofapplication according to approved schedule) This Application becomes your Sign Permit when approved. By City Planner or designee Date T� 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 Planneroydesigneownstimtes compliance with the Sign Ordinance. Special Conditions 6i' 4y! !'$ g4le4jT /d --) L 0 CjeeVr - 7'9' (:n{, i 24 Hour Notice for NI Inspections 447 -4230 from 9:00 a.m. - 10:00 a.m. 1:1handouts12006 handoutslzoning\sign permit application.doc LO U) a 0 a I E G 0 M V! t ll ..v -�� Vi=a' Wl 0 0 N ■ 0 W f0 IL 0 a 9 r `o a E 0 N c� 0 I �,t vV JRN 7.5 -2010 08:24 FROM:J R KING ENG 952 944 0588 TO:7635592639 P.1/2 M YG� n�q E Zv-r 1 -2 V,ry I /05 /1 o 1 nel eY acAdnnha reGon in, aw w' plopl,,r4islonosnd hel d f, ln6er Under 11e Pt eseian IEna ,nnssoID• of sit R �K 9 Tom$ `� ne Reg d a� C M �1GN �a�at� A (4) A CpW C h� N P r f p I UA '