HomeMy WebLinkAboutSign Permit 09-009 - YMCA wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 5z Cf
DIRECTIONS: One completed application per sign is required. Applicant is `
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
25 t /5Z. UO2. Z
� � � (PHONE)
2. APPLICANT: (NAME) (ADDRESS 9e
D D 1 S %11 5yS`lpmS % l C , 4th adgl WQ
3. OWNER: (NAME) t (ADDRESS) (PHONE).
'(M C44 -3 b 1 ) N&4h l ran V NLO 02rR d X -30 '00 Al
v
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
jl�mz- cs A bove ,
5. TYPEOFSIGN. TEMPORARY(27DAYAIwmuidDISPIAig PF. RMANENT( WAI. I/AfARQUEAJAWNINCIpRLIESTANDING)
Balloon * Banaer *Bushress *Chargeable Copy Signs °Construction Signs Il LsntutrdedSigns* Les /ilu6mtalSigns *I -n /[e Service Signs*
Multiple Residential Nonreplate Slgus* Gu- AenusaDirecdonalSigns "Permouent Window Sign *Portable Sign *Subdivision Idenllfre[nion Signs
6. SIGNDIMENSIONS
10. Estimatedvalueofslgn it
(square feet) (Height) (Width) (Depth)
122—
11. Completion Date
7. TYPE
//OF/1 //NSTRUCTION
Alen Z ,4
S. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THE ARE INCOMPLETE
I hereby codify that I hive firmished information on this application which is, to the best of my knowledge, into and omrcct. I also certify that I am the owner
or uuthorimed agent for the above- mentioned property, and that all constr will conform to all existing state and local laws mid will proceed in accordance
with submitted plans. I am aware that the City Planner can revo m this pone it for just cause. Furthermore, I humby agree that City Officials or a designee thereof
may enter upon the property to perform needed inspeoticns.
SIGNATURE OF PROPER O R/AGENT DATE / .
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs
Permit Fee$ 31 6 S (Parmitfeeis set
at time of application amording to approved schedule)
This Application becomes your Sign Permit when approved.
By G v
City Planner or designee
Date 7�9 /,0 R
/
i
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 complianeo with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections -
447 -4230 from 9:00 a.m. - 10:00 a.m.
'11
1: \bandouts\2006 hendouts\aoning\sign permit application.doo
8
�
3
y E
k
2
Y