HomeMy WebLinkAboutSign Permit 09-006 - Chamber bannerv�
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. — f • 06
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-.• 4170 • DOS D
2. AP PLICA � NT: (NAME) (ADDRESS)
�� 1, ��(PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE)
- Uri 16g M a-lk e t _ 1 G 131 fiOq )3 S. Q -C .
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4. SITE ADDRE CATION O IGN (PHONE)
J 73 ( w 13 S�� fwr �z -��o- Qoo
5. TYPE OF SIGN: T RARY I DAYMAXIMUMDISPLAY) PERMANENT ( WALLMARQVEE /AWNING/FREESTANDING)
Bal loon *Banner *Business *C eangeable Copy Signs*Construction Signs *RlutrdnatedSigms Instilutional Signs *Lake Senice Signs*
Multiple Residential Nameplate Signs*On- Preadse Directional Signs *Pernmuent Mndow Sign *Portable Sign *Subdivislon Identiftcarton Slgna
6. SIGN DIMENSIONS
10. t mated Value of Sign
(square feet) (Height) (Width) (Depth)
11. Completion Date
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7. TYPE OF CONSTRUCTION
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8. PROPOS D DISPL DATES (if applicable)
/ C ((G At,
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have famished information on this application which is, to the best of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above - mentioned pro try, and that all construction will 'am to all existing state and local laws acrd will proceed in accordance
with submitted plans. I am aware that the Ci inner can revoke this permit for is ause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform e d rspectium
ne
S ci RE OF PRO RTY O R/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
1( Completed Application
Scale Drawing showing location of sign
x PlausandSpecs
T Permit Fee $ /,S 0 102- (Pennit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
Hy
City Planner or designee
Date
'Phis 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 VA i�A yor SO days in ZriDQ
24 Hour Notice for All Inspections
447 -4230 from 9:00 a.m. - 10:00 a.m.
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