HomeMy WebLinkAboutSign Permit 09-031 - bannerCity of Prior Lake
SIGN PERMIT APPLICATION
Permit No.
DIRECTIONS: One completed application is required PER SIGN.
1. PROPERTY IDENTIFICATION NO.
SIGN PERARTS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
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2. SITE ADDRESS: / f6'F3 / Lj� / 1 3 S- 3. ZONING:
/ ( / ADDRESS)
4. APPLICANT: (NAME) (PHONE)
5. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: Balloon Sign CBanne�� Construction Sign Of- Premise Directional Sign Portable Sign
Streamersand Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: /zl / /z'e/ 3l
To:
b. PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
On- Premise Directional Sign Permanent Window Sign Subdipision'Identifeation Sign Wall Sign
7. SIGN DIMENSIONS:
S, TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
9. PERCENT OF WALL COVERED BY SIGNAGE:
10. TYPE OF CONSTRUCTION/MATERIAL
11. ESTIMATED VALUE OF SIGN:
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.
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 state and local laws and wile 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 needed inspections.
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SIGNATURE OF PROPERTY OIVNER/AGENT LSATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: 1 `' c3cE
J J — (Note:
Permit Fee $ Permit fee is set at time of application according to approved schedule.)
CITY PLANNER 0 DESIGNEE DATE
This is to certify that the request in the shove 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 designe�e constitutes complumcc with the Sign Ordinance.
Special Conditions: 74;, !� G7`C[
24 Hour Notice for All Inspections
447 -4230 from 9:00 a.m, - 10:00 a.m.
hAtemplateAsignfomi,doc
Scott County, MN
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This drawing is neither a legally recorded map nora survey and is not Map Scale N
Ih erdait to be used as one. This drawing is a compilation of records,
Informagon, and data located In various city, counly, and state offices, and / inch =71 feet
other sources affecting the area shown, and is to be used for rate rence W E =�'h
purposes only. 5.11 County is nal responsible forany inaccurades herein Ma date
cuntalned. if disuepancies are found, plaasewnlacl the Sett county p %
S.N.Y. ofres. 12/23/2009 S / jl