HomeMy WebLinkAboutSign Permit 08-012 - Basement wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.'S IZ
si h�
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
p 9y706®.�2 0
�
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
�q s?lnehl llv ac &,&0 l 7C�
3. OWNER: (NAME) (ADDRESS) (PHONE)
13 S,
4. SITE ADDRESSAM LOCATION OF SIGN (PHONE)
4 / 'A w
5. TYPE OF SIG .MPO RY(21 DAYMAXIMUMDISPLAT) CPERAiANE 11 ARQUEE/A WNING/FREESTANDING)
Balloon* Banner nsin 'Gangeable Copy Signs *Consfruclion Signs*Illununate Signs *nsilutional Signs *Lake Service Signs*
Multiple Reside rdat Nameplate Signs *On - Premise Directional Signs-Permanent i{yndow Sign *Portable Sign *Subdivision IrinHification Signs
6. SIGN DIMENSIONS 10. Estlnmted Valise of Sign S pa
(square feet) (Height) (Width) (Depth)
11. Completion Dn le / D
8 �e 5 .SPse.i@IO[J
7a TYPE OF CONSTRUCTION
/ �J� � "
f�' mlA un, CGlq*4 47'Ve 6/ &Ige- neosl� G(�R� /7 116 &vee'i Gf , �/ / Il
8. PROPOSED 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 ofmy knowledge, true and correct I also certify that turn the owner
or authorized agent for the above-mentioned property, and that all cons action will conform to all existing slate and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner c revoke thi permit m'jost cause. Furthermore, I hereby agree that City Officials or adesignee thereof
may enter upon the property to perform
SIGNATGRE(F R/AGEN DATE
FOR ADMINISTRATIVE USE
i/ x 26� "= SUBMISSION REQUIREMENTS
3b 66.2s s of
Completed Application
// Scale Drawing showing location of sign
178 = 22,25sy
Plans and Sp
. 19x _ ec
Permit Fee $ Y- 8 (Permit fee is set
5 .S9 at time of application according to approved schedule)
/O r
This Application becomes your Sign Permit when approved.
DY .��
Planner or designee
` City
Date ✓� �/� O
This is to certify that the request in the above application and accompanying documents is in awordanec with the City Sign Ordinance and may proceed as
requested. This document, when signed bythe City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice for All Inspections
447 -4230 from 9:00 a.m. - 10:00 a.m.
�.(GKlN
J
1:\handouts \2006 handuuts\vomng\sign permit application.doe
'Ea E ��o Ana
° ti `uRO ° r�r�
V ,
d.
0 7 %
m Qn
�I a
r c1
H l
a
V)
w
w \ ty-
z l
x
U �
W
F-
z
z
H
Z3
7
J
-a
H
z ,
O
w
z