HomeMy WebLinkAboutSign Permit - 09-003City of Prior Lake
SIGN PERMIT APPLICATION
Permit No. Sr' 0 ? - 03
DIRECTIONS: One completed application is required PER SIGN.
1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
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2. SITE ADDRESS: /OoSo Hnn ?; / 3. ZONING: c
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4. APPLICANT: (NAME) (ADDRESS) (PHONE)
)I E�M �R) (ht(IS 'z! MAUI 171X Cy �2 440 m// t
5, OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off-Premise Directional Sign Portable Sign
Streamers and Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: —/ To:
b. PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Men_uBa_ard Sign
On- Premise Directional Sign Permanent Window Sign Subdivision Identjfication Sign Wall Sr n
7. SIGN DIMENSIONS:
8. TOTAXwAL AREA:
(Total area) (Height) (Width) (Depth)
9. PERCENT OF WALL COVERED BY SIGNAGE:
10. TYPE OF CONSTRUCTION/MATERIALS:
11. ESTIMATED VALUE OF SIGN:
12. COMPLETION DATE:
A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
I hereby certify that I have furnished information on this application, which is, to the best of my knowledge, true and correct. I also certify that 1 am the owner
m 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 prop erform n ed inspe�ons.
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SIG ATU OF PP OWNER/AGENT DATE '
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: r30
Permit Fee $ (Note: Permit fee is set at time of application according to approved schedule.)
CITY PLANNER OR DESIGNEE DA
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.
Special Conditions:,
24 Hour Notice for All Inspections
4474230 from 9:00 a.m. - 10:00 a.m.
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