HomeMy WebLinkAboutSign Permit 11-004 BRX Fitness bannerCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. -� I m A, ,
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) (PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
DAYXIMUMDISPLAY) _: PCR,VIAA' ENT( IIIALL IIVIARQUECIAkYNLNCIrRrESTANDINU)
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$, TYPE OF SIGN: TEN
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ENl *HrrsLre Nrngenbfe Col ;P Slg»s "Cnns/nrctlar Signs "Efeclraiiie hINSSnRe "llRrudirrrler!Signs' *Lrslfla /tarn!Sigrts "Lnhe.ServlCe.S/gns
Mu! /tp /e Resirf<u /in! Nronrfdn /e S)gn.r "On- Premise Dirnefinunf Slgru"PeruutnerN INindary 5'ign "PoNnG/e Slgn *S➢rbrlivisiorr /r /en /1 /icaRmr .5'igns'
6. SIGN DIMENSIONS
III. rsllnuntcd VolacofSign
(square feet) (Height) (Width) (Depth)
11. Canydr +firm Dale
7. TYPE OF CONSTRUCTION
8, PROPOSED DISPLAY DATES (if applicable) /j
SIGN PERMITS WILL NOT RE PROCESSED IF THEY ARE INCOMPLETE
1 hereby certify that I Irove rumishcd infonuation en This application which is, to the best ol'niy knowledge, true and comet. I also certify that I am the owner
for the and that all coostnretiml will conlbnn to all eeisling state and local Imes and will proceed in accordance
or authorized agent above - mentioned properly,
with submitted plans. I am aware that [he City Planner can revoke this permit Imiust cause, Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform needed inspections.
4 NAT E O I'PROPGR YOWN� �7O✓�I2EI' DATE
1'111 A OF PROPERTOWN LR
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FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
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/�- CmnpleteA Application
Scale Drawing showing location of sign
1111$ alld $pCCa
ennil Fee $ i (Permi( fee is set
al throof application accotdlag to approved schedule)
This Applicafion becpmes ymnr ermit when approved.
\ S_igii
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lyPlanner or designee
Dale () 12
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'Ibis is to certify that the request in the above application and accompanying docunleras is in accordance with the City Sign Ordinance and may proceed as
requesed. This document, when signed by the City Planner m designee constitutes compliance with the Sign Ordinance.
Special Conditions
_.
24 Hour Notice for All Inspections- 447 -9810
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