HomeMy WebLinkAboutSign Permit 11-0008 Brand Company projectingCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. S I - Y 1— (Ja
DIRECTIONS: One completed application per sign is required. Applicant is
1, PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
25-0o1-U2- 6 O
2. APPLICANT: (NAME) (ADDRESS) ('/21o0 t- A",jA•J 5 (PHONE)
&RAtiD CO44 PRIJ� ,TA, Ll76cl DAkorA 5T, 3e 6 r,2 - 636 -aa 73
3. OWNER: (NAME) (ADDRESS) G /.? - 7 s o - cvV) r (PHONE)
,X6o.9 1 441 aahtcy J 1 4 1 3 1 . 4 9 X; r- Peat C -' PA SE ) , L j M/y ss37.7
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
y'7(,9 2)4Acd44 SE P - +o.- L4At, MIN SS37Z
5. TYPE OF SIGN: TEMPORARY (21 DA YMAXIMOM DISPLA}� PERMANENT ALI 1ARQDEE/AWMIVG/FREESTANDING)
BnRoon• Business *Changeable Copp Signs Signs "Efeclronic Message m er Signs °lnstilutionat Signs -Lake Service Signs*
Multiple Residential Nameplate Stgrrs *On- Premise Directional Signs-Permanent Window Sign "Pormhle Sign '.Subdivision Identification.flgrrs
6. SIGN DIMENSIONS
m. estimated Value of Sig
(square feet) (Height) (Width) (Depth)
S 8 �:)'�
11. Completion Date
5
G , C Sq t J � 36 11 3 O sf a 1
1 J
7. TYPE OF CONSTRUCTION
S't' / kIODQ
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
1 hereby certify that 1 have furnished information on this application which is, to the best of my knowledge, true and correct. I also certify that 1 am the owner
or authorized agent for the above - mentioned properly, and that all construction will conform to all existing state and local Imes and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit forjust cause. Furthennore, I hereby agree that City Officials or a designee thereof
may enter upon the property to pertb ceded inspections.
y" C 1 101, t. 3- 3 - It
SIGNATURE OF PROPERTY O OWNER REP DATE
Gda /E M c 6.a Yhrr y
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Application
_� ampleted
_ tale Drawing showing location of sign
ans aid Spec$$,�
1 1
Permit Fee $ J (Permit fee is set
at time of application according to approved schedule)
This Application b com your Sign Permit when approved.
` 6
By
y Planner or designee
Date
'I his 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
I:Vrandoutslsign permit application.doc
38"
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