HomeMy WebLinkAboutSign Permit 09-027 - YMCA bannerCity of Prior Lake
SIGN PERMIT APPLICATION
Permit No.
DIRECTIONS: One completed application is required PER SIGN.
1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
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2. SITE ADDRESS: r- r J 3. ZONING:
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4. APPLICANT: (NAME) (ADDRESS) (PHONE)
5. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle) _
A. TEMPORARY: Balloon Sign Bonner Sign ,Construction Sign Off - Premise Directional Sign Portable Sign
Streamers and Pennank Street Banner - -- Temporary Sign
PROPOSED DISPLAY DATES: From: / / To:
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b. PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
On- Premise Directional Sign Permanent Window Sign Subdivision Identification Sign WaRSign
7. SIGN DMMNSIONS:
8. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
9, PERCENT OF WALL COVERED BY SIGNAGE:
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10. TYPE OF CONSTRUCTION/MA
11. ESTIMATED VALUE OF SIGN:
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12. COMPLETION DATE:
A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
1 hereby certify that I have furnished information on this application, which is, to the best of my knowledge, true and correct. 1 also certify that 1 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 fit the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property perform needed inspections.
SIGNATURE OF PROPERTY OWNER/AGENT DATE
This Application becomes your Sign Permit when approved.
FOR ADMIMSTRATIVE USE ONLY:
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Permit Fee $ / (Note: Permit fee is set at time of application according to approved sebedule.)
CITY PLANNER RDESIGNEE DATE
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 compliane the Sign Ordinance.
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Special Conditions: c L�<< y -/�i: f ✓ "-, Z
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24 Hour Notice for All Inspections
447 -4230 from 9:00 a.m. - 10:00 a.m.
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S cott County, MIN11
This drawing is neither a legally recorded map bar surrey and is not
Intended to be used as one. This drawing is a compilation of rebotds,
Information, and data located in various city, bounty, and stale offices, and
other sources affecting the area shown, and is to be used for reference
purposes only. Scott County is not responsible for any In oourades herein
contained. If discrepancies are found, please contact the Scott County
Surveyors off'..
Map Scale N
1 inch = 198 feet
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Map Date Y
12/1/2009 S,�