HomeMy WebLinkAboutSign Permit 09-005 wallCity of Prior Lake
SIGN PERAUT APPLICATION
rat No,
DIRECTIONS: One completed application is required PER SIGN.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
2. SITE ADDRESS: /( a � I M1 k
4. APPLICANT: (NAME)
QAP,L�SnAJ HAIO-DwAke
5. OWNER:
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6. TYPE OF SIGN: (Please circle)
(ADDRESS)
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(ADDRESS)
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1. PROPERTY IDENTIFICATION NO.
3. ZONING:
(PHONE)
to A v - c(s q 222 rev
(PHONE)
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off Premise Directional Sign Portable Sign
Strean+ersand Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: _i_i_ TO: — —
b, / PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu oard Sign
��� On- Premise Direetior+al Sign Permanent Window Sign Subdivision Idendificafian Sign Wall Si in
8. TOTAL WALL ARE
7. SIGN DIMENSIONS: 4 St Dc' g X00 S9 f 7'.
(Total area) (Height) (Width) (DeP�)
i l 3!e 9, PERCENT OF WALL COVERED BY SIGNAGE:
fT
10. TYPE OF CONSTRUCTION/MATERI ALS:
11. ESTIMATED VALUE OF SIGN:. .��* O�J
PaS r[ C Sig '' �0 0 ni r
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 am the Owner
I h certify that I have furnished information and that all const Lion wi 1 conform to all existing state and local laws and w ill + proceed n accordance
or authorized agent for the above mentioned
with submitted plans. 1 am aware that the' Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof my enter upon the property U p ede inspections. / � b �r
SIG ATURE ROPERTY OWNE AGENT DATE 7
This Application becomes your Sign Permit when approved.
FOR ADMIMSTRATNE USE ONLY: Penmt Fee $ r (Note: Perrmt fee is set et time of application according to approved schedule.)
326'P 9
CITY PLANNER OR DESIGNEE DATE
This is to certify that the request in the above application and accompanying document' is in accordance with the City Sign Ordinance and may proceed es
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
447.4230 from 9:00 a.m 10:0 a.m.
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