HomeMy WebLinkAboutSign Permit 08-016 - Ekim Orthodontics wallzt 70 2 7 �*--r
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.5�r— og16
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
cJ
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
�cAJ I r44 46 s� /Atli 17,22) !(3 " - t)ra o55c7�, f1��t1
3. OWNER: (NAME) (ADDRESS) (PHONE)
E 'X11N s:/v J e5Ri1;4 V52-- - -6U77
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
/d / :Za z5 - e 4 tgf -!� 1- Amed�? 5 - 6372-
5. TYPE OF SIGN: TEMPORARY(21 DAYVAXIMU,IIDISPLAY) PERIIANENT (WALL gLUQUEEIAn'NINGIFREESTANDING)
Balloon' Banner Business *Changeable Capp Signs`Construction SignsBhaninated Signs "Institutional Sigus`Lake Sen4ce Signs'
Multiple Residential Aanteplate Signs" On- Premise Direclianal Signs "Pertuanent Windom Sign "Porlable.Sign•Snhdirision Identification Signs
6. SIGN DIMENSIONS
It. Estimated Velme of sign
- C O �
(square fee) (Height) (Width) (Depth)
11. Completion Date
-( n �
r�
7. TYPE OF CONSTRUCTION
/
-A- U Al 1 a1.7 y m Tu RRC
R. PROPOSED DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have ftunished information on this application which is, to the best of my knowledge, tare and correct. I also certify that I mn the owner
or authorized agent for the above - mentioned property, and.t6m all construction will conform to all existing slate and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revo this permit Im arose. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform needed in
-rte
_j�
S1 C�F A`fUl ' O PR PER AGENT DTE
D
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
'Y `7NV
w __ Completed Application
Scale Drawing showing location of sign
/ — Plans
and Specs 7.;
(p C -79 - 5t lt! /SL��
Penult Fee y2° `-- canal tee is set 4
��
at time of application according to approved schedule)
i ty i � &This Application becomes your Sign Permit when approved.
l
' &A, I
�� Ry_
P -0 A�
n1 � CiTy Plannn' or ®ignee
P � /' �r
I Y Dnte_
This is to certify that the request in the above application and accompanying documents is to 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 am. - 10:00 a.m.
[Niandouts12006 handoutslzoningtsign permit application.doe