HomeMy WebLinkAboutSign Permit 09-014 - Elan Dental wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit N .57— o. 611- 1
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building ponnit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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3. OWNER: (NA ) (ADDRESS) (PHONE)
41err)/ -PA Wr e -p:5kA in Frl�;n 67y► q5 ?- 53 -03
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
16S - Azi 5fi 5&
5. TYPE OF SIGN: TEMPORARY (ZI DAYMA7umumDISPLAIJ PERMANENT (WALLIMARQUEFIAWNING /FREESTANDING)
Brr77oon' Banner'8nxiness•CGmrgeable Copy Signs'Conshuet7on Signs `IlGunuralerl Sigrrs *Drslitu6oxnLSigns`LakeS'endee Signs -
Mrr/tipteResident7alNanrep7nle Signs` Orr- Remrse DirectioualS7gns•Perrnrsneut WurdowSign •PartaEleStgn'Subrlivision Irlen�calian S7gmr
6. SIGNDIMCNSIONS -
10. Estimated Value i
(square feet) (Height) (Width) (Depth)
i92% 0
11, Completion Date
V
0 11 . 7 c 9 it 9 Ii / 1j
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that .I have fnntishedinfonnntion m, this application ,which is, to the best of lily la,owledge, true and cotruct. I also certify that am file owner
or authorized agent for the above - mentioned property, and that all construction will conform to all existing state and local Imes and will proceed its aceordanec
with submitted plans. I am awa'e that file City Planner can revoke ibis permit ferjust cause. Furtlmrnmrq l hereby agree that City Officials or a designee thereof
may enter open the property to perform needed inspections.
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SIGNATUREOFPROPHRTY 'NERIAGHNT DATE
_--- ________ - -_ -- -- _____--- -------- -----
— — _— _---- —_— _----------------- -------------------
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
-- Scsle Drawbng showing location of sign
5'� — Plans and specs
K P..iLPeeS a2.e! (Permitfeeisset
at lone of npplication according to approved schedule)
This Application becomes your Sign Permit when approved.
By
City Planner or designee
Date q 1/
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
mqueated. This docmmem, rwhen signal by the City Planner or designee consGtntes compliance with the Sign Ordnance.
Special Cmhdilions
24 Hoar Notice for All hhspemfions
447 -4230 from 9:00 a.m. - 30:110 a.m.
L:Vnandonls 12006 haulmrts\zoninglsigu penniL applicalion.doc
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