HomeMy WebLinkAboutSign Permit 09-008 - YMCA wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 5 T - 6 '7- 0Y -
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL T.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
25' /-/
2. APPLICANT: (NAME) (ADDRESS) SGiUl � C5379 (PHONE)
5 D i S it S� >S�PmS 1 i�r I G+�em 61 r
3. OWNER: (NA r � (ADDRESS) r" (PHONE).
�M CA 3b 11 l&seln : f, & NtO V29Z S Z 3, p4„I
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
Samz- re AbAve�
S. TYPE OF SIGN: TEMPORARY(2IDAYMAvmumvaPL4r) Pe" ANEN!( W'�yI�NARQUMAWMNCIFREESTANDING)
Balloon * Banner *Business *Clrangeable Copy Signs* Construction Signs *KmnutatedSigm *InsBlntlonalSigru *Lake Service Signs* -
Multiple ResidettdalNanteplate Signs* Ou- PrenriseDu eetionalSigns *Perniment WiadawSign *Portable Sign *Subdivision Identifmation Signs
6. SIGNDINIENSIONS
feet)
lo. Estimated value of Sign
(square (Height) (Width) (Depth)
11. Completion Date
Y.f �
1 q 7 $ A - 4 y 33 9'f+ � ' 9
f"Y
7. TYPE OF CONSTRICTION
J /J / OM r"n A } t /
T GI.G' -f� Zr�' 0,114 4el/ le�TLG 1`lI I/san. 1( /I'f VIe 4 G... CdD
S. PROPOSED DISPLAY DATES (if applicable) `
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this appliontion which is, to the best of my hnowledge, true and eomact I also certify that I am the owner
or authorized agent for the above- mentioned property, and that all will eonfo to all existing state and local laws and will proceed in accordance
with submitted plans. Ism aware thatthe City Plannercan re this permit farjust so. Further more, I hereby agree that City Officials or a designee thereof
may cmurupon theproperty to perform needed inspeotio
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SIG T OP OF PR O\ AGENT DAT
- -_
FOR ADMINiSTEATIVE USE _ —__
SUBMISSION REQUIREMi NTS
d Completed Application
- Scale Drawing showing location of sign
- Plans and Specs
TPermit Fee$ 69.25 (Permitfeeisset
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By ong
City Planner ct 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 Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice fotAll Inspections
447 -4230 from 9:00 a.m. -10:00 a.m.
1:lhandouts\2006 handoms\zonin&ign pemhit application.doo
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