HomeMy WebLinkAboutSign Permit 08-015 - monumentCity of Prior Lake
APPLICATION FOR SIGN PERMIT
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Permit No.
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. APPLICANT: (NAME) (ADDRESS) (PHONE)
A/E
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
L, CX 7S F"4441 77 S'E"
5. TYPE OF SIGN: TEMPORARY(21 DAYMAXIMUMDISPLAY) PERMANENT( WALUMARQUEE IAWNINGIFREESTANDLNG)
Balloon * Banner -Business -Changeable Copy Signs *Construction Signs *lllaminaled Signs *lnslilurional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs*On - Premise Directional Signs *Permarrent R4ndow Sign *Portable Sign *Subdivlsion Identification Signs
6. SIGN DIMENSIONS
10. Estimated Value of Sign ��� lb
(square feet) (Height) (Width) (Depth)
11. Completion Date f l � i rle
✓
9y /2 E
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that 1 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 onstruction 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 this permit farjust cause. Furthermore, I hereby agree that City Officials or adesignec thereof
may enter upon the property to ded inspect
NATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Spec
Permit Fee $ gr/ -ene (Pemrit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By
ity
Dat / lannerordesi ig gn ne ee
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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 -4230 from 9:00 a.m. - 10:00 a.m.
I:Wandoutst2006 handoutslzonin&ign permit application.doc
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