HomeMy WebLinkAboutSign Permit - 09-024City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. -2 y
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) (PHONE)
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3. � (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATIO F SIGN (PHONE)
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5. TYPE OF SIGN: TEMPORARYt I DAVMAXIMUMDr.SPLAk) PERMANENT( WALLMARQUEE /AWNfN(dFREESTANDING)
Balloon* Banner °Business °Changeable Copy. Signs *Construction Signs*lllumitmted Signs `fmtiiuiionnl Signs *Lake Service Signs*
Multiple Hesidetrlial Nameplate Signs *On - Premise Dimcilonaf.Signs *Permanent t1"rndow Sign *Portable Sign *Sabdlvislon Identificalion Signs
6. SIGN DIMENSIONS
10. Estimated value of Sign
(square feet) (Height) (Width) (Depth)
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11. Completion Date
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7. TYPE OF CONSTRUCTION
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S. PROPOSED DISPLAY DATES (if applicable) �� 1' 7 1, o
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLE'PE
1 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 state and local laws and will proceed in accordance
with submitted plans. 1 am a that Planner can revoke this permit for just cause. Furthermore, 1 hereby agree that City Officials or a designee thereof
may enter upon the property [o pe r n ded ins . as. Q
SIGN O ERTY OWNER/AGENT DAT.
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
X Completed Application
4 Scale Drawing showing location of sign
_Plans and Specs OU
recruit Fee $ (Pemtit fee is set
at time ofapplication according to approved schedule)
This Application becomes your Sign Permit when approved.
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City Planner or designee
Date
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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 constimtes compliance with the Sign Ordinance.
Special Conditions /d T y- ✓U/✓� � ��✓7C ___
24 Hour Notice for All Inspections
447 -4230 from 9:00 am, - 10:00 a.m.
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Scott County, MN
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This drawing is neither a legally recorded map nor a survey and is not
Map Scale
intended to be used as rne. This drawing is a compllation of records,
1 inch = feet
Infomlalian, and data located In aadcus city, cconly. and slate omces, and
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other sources affecting the area shown, and is to be used for reference
gm,oses only. Scett County is not responsible for any inaccuracies herein
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contained. If discrepancies are found, please contact the Seel) County
p
ry
sueyora office.
10127/2009
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