HomeMy WebLinkAboutSign Permit 09-010 - YMCA wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
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.
2. APPLICANT: (NAME) (ADDRESS) s�tlage�, x'5376 (PHONE)
S D D l S iz17 5� slgms E31 cr�o G; 9 s;t adq G
3. OWNER: (NAME) t (ADDRESS) v HONE
P(M 62A - 3b 0 Noc+)i A110 y2y S z-3 3, P/d
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
S,lPA c- ejrs Abeve�
5. TYPE OF SIGN: TEMP0RARY(21 DAYMAXIMUMDISPLAYj PERMANENT ( WALJAfARQUEE IAWMNG/PRBBSTANDI)VG)
Balloon * Banner *Busuress *Chargeable Copy Signs *Construction Signs *llbmrirmted Signs$nrtinrtiorralSigns *Lake Service Signs*
MrdlipleResidential Narreplate,Signs *Orr - Premise Directional Signs *Peramnent Window Sign *Portable Sign *Subdivision Idwrtifwation Signs
6. SIGN DIMENSIONS
10. Estimated Value of sign
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(square feet) (Height) (Width) (Depth)f4��
11. Completion Date
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7. TYPE OF CONSTRUCTION
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S. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have finished information on this application which is, to the best of my knowledge, true and oorrect I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all eenstmction will conform to all "isling state and local laws mid will proceed in accordance
with submitted plane. I am aware that the City Placer can ravok° C permit forjosl cause. Furthermore, I hereby agree that City Officials or a dcaignee thereof
may enter upon the property to perform needed M peofions,
SIG ATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION RFQUIREMFNTS
Completed Application
Scale Drawing showing location of sign
_Plans and Spec
D Permit Fec$ (Permitfeaisset
- .ls
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved,
By
City Planner or designee
Data � 7
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 compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inapeeticns
447 -4230 from 9:00 a.m. -10:00 a.m.
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I:Umandmns12006 handouts%zoning \sign permit applieation.doc
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