HomeMy WebLinkAboutSign Permit 09-017 - Fantastic Sam's tempCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. S x - 6 r - 1
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS)
;r (PHONE)
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3. OWNER: (NAME) (ADDRESS) (PHONE
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: TEMPORARY(I )DAYAtLUT7UMDISPLM PERMANENT(NALUY/AR(?UEE/AWNING /FREESTANDING)
Balloon* BanneraBusiness *C tangeabla Copy Signs-Construction Signs *Illuminated Sigres *brstibdionar Signs -Lake Service Signs*
Multiple Residential Nameplate Signs•On- Premise Directional Sins-Permanent Window Sign *Portable Sign*Subdivision Identification Signs
6. SIGN DIMENSIONS
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
I 11. Completion Date
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7. TYPE OF CONSTRUCTION
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S. PROPOSED DISPLAY =f (if ap livable)
SIG PERMITS WH.L NOT BF. PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have famished information on this application which is, to the best of my knowledge, tree 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 state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform ededinspections. ( �
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SIGNA PROPERTY OWNEWAGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
X Compleled Application
Scale Drawing showing locatian of sign
Plans and Speer V
Permit Fee $ /:J 0-- (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
Date
This is to certity that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. phis document, when signed the C ? ity Plwmcr or dessi gnee constitutes compliance with the Sip Ordinance. p
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Special Conditions �Q ��vl y A°Vlh,n4 _ 41,51
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Pkee S4^ ct3- heaJf ID 1 7 1-l ee rows , 'Op" 141,-37
24 Hour Notice for All Inspections 1 � I
447 -4230 from 9:00 a.m. - 10:00 am
I:1andouts\2006 h.mdoms\zoning\sign permit application.doc
Scott County, MN
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This drawing is neither a legally recopied map nova survey and is not
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intendetl to be used as one. This dravdng is a compilation of records,
1 inch= 118 feet
information, and data located in various arty, county, and state offices, and
other sources a feeling the area shown, and is W be used for reference
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purposes only. Scarf County is not responsible for any inacouracles herein
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containatl.lf discrepancies are found, please contact line Seelt County
SarveYom Office.
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