HomeMy WebLinkAboutSign Permit 11-006- McGeez Closet pylonCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. S I — I 1 — C i 6
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
2. (NAME) (ADDRESS)) (PHONE)
A APPLIC // ANT:
/
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
5. TYPE OF SIGN: TEAIPORARY(21 DAYMAXIMUMDTSPLAI9 PERMANENT ( WALL /MARQUEE /A WAYNG/PREESTAND7NG)
Balloon "Banner" Bttsbtess *Changeable Capp Sigres'Cmrstrtictitmt .Signs-lllittninated Sigas`instihttional Signs °Lake Service Signs°
Alydtiple Residential Naateplate Signs °Orr - Premise Directional Signs °Permanent {Yindoiv Sigii*Portable Sigtt'Sabdivision ldentification Signs
6. SIGN DIMENSIONS
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
jC/
11. Completion Date
t
7. TYPE� OF CONSTRUCTION
S. PROPOSA) DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I 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 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 an aware that the City Planner ccan revoke t1' permit forjust cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to performiieided inspections.
SII OF PROPERTY OWNER /OWNER REP DATE
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SU / BMISSION REQUIREMENTS
v/ ompleted Application
talc Drawing showing location of sign
M ans and Specs
Permit Fee $ 4S fee is set
at time or application according to approved schedule)
This Application b col your 'g y�rmit when approved.
l(
13Y
W iry Planner or designee
Date U `2 i3^
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 compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections- 447 -9810
j: \fnrmslsign permit applieation.doc
2 EACH 28"X LEXAN PANELS PER COPY
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