HomeMy WebLinkAboutSign Permit 11-007 - YMCA wallCity of Prim Lake
APPLICATION FOR SIGN PERMIT
Permit No. S � — [ — 07
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)
Spill S. Sy f s 8631 / Gr��IC GIr S�FAW qsr a�4gfr6.�
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
3575 Na ,- -u , Serr,r 5 kal P " ' -- 44 ke ESL a30 gezz-
5. TYPEOFSIGN: 7EbfPORARY(21DAYMAXIMUMDISPLAYJ PERMANENT(WALLIMARQULLYA IYNING IT REESTANDING)
Balloon *Bt,s'ittess *Ckangorble Copp Signs *Corrsfrtiefion Signs *Electro)iic Message *Illttnrinaled Signs *lnstilatiuual Signs *Lake Service Signs*
Multiple Residential Nameplate Signs *On - Premise Directional Signs *Pennanetn Windo, Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS 10. E rat� Value of Sign
(square feet) (Height) (Width) (Depth) A�
Z i 11. Completion Date
130 S Z 35�. �i 3 /.2 �
7. TYPE. OF CONSTRUCTION
8. PROPOSED DISPLAY PLAY DATE (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
1 hereby certify that I have famished intomtation on this application which is, to the best of my knowledge. true and correct. I also entity that I am the owner
or authorized agent for the above - mentioned property, and that an 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 needed inspections.
SIGNAT FPROPERYI'Y OWNER'OWNER REP DATE.
PRINTED NAME F PROPERTY r ,
ADMINISTRATIVE USE
SiiBMISSION REQUIREMENTS
�/_ /C /C Application
cal
�� / ' .Scale Drawing showing location of sign
✓S Plans and Specs t
1 Permit Fee $ 9'7,30 (Permit fee is set
at time of application according to approved schedule)
This Application be rues your Sign Permit when approved.
By
Planner ardesignee
T 4
Date
This is to certify that the request in the above application and accompanying documents is in accordance with [he 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
IA mubmts \sign permit application.doc
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