HomeMy WebLinkAboutSign Permit 09-011 - YMCA wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit Ne. - o 7- //
DIRECTIONS: One completed application per sign is required Applicant is
I. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) SalUq 0-537 (PHONE)
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3. OWNER: (NAME) (ADDRESS) �� (PxoNE).
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
SAb e;is Above,
S. TYPE OF SIGN: TEMP0BARY(21 DAYMAXIMUMDISPLA)9 PERMANENZjE2�AROUEF ✓AWNINCvFREESTANDING)
Balloon * Banner *Business *C1,angeah1e Copy Signs'Construction Signs Na ntulatedSigns limpfrt6mralSiglu *Lake Service signs`
Malit]pk ResideatialNmaeplate Sigax *On- Pletuise DirecdonalSigns *Pernumaut Window Sign'PalMde Sign *Suhdivisiou ldwnifmatiwr Signs
6. SIGN DIMENSIONS
10. Estimated Value af5ign y /
(square feet) (Height) (Width) (Depth)
11. Completion Date u Q
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7. TYPE ONSTRUCT
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8. 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 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 property, and that all construction will conform to all existing stale and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit forju cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enterupon the property to perform needed inspeofion^
SIG ATUREOFP OR PE YOWNEIUAGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
x Completed Application
— Santa Drawing showing location of sign
—_le Plans and Specs
__ Permit Fee (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
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City Planner or designee
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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 Ali Inspeehons -
447 -4230 from 9:00 a.m. - 10:00 a.m.
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