HomeMy WebLinkAboutSign Permit 07-016 - freestandingCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPER .
responsible for obtaining a building permit if necessary.
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
>>�C '51 cy\ CZ Cke FC C•
3. OWNER: (N E) (ADDRE') - (PHONE)
oh 1) G57 ? h
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
�l�xl.� �.
5. TYPE OF SIGN: TEAfP RART (TI DAYMd.Y/d /U(I/ DIS!'L I11 PEReL/ ANENT ( II'LLIl4ARQUEELII !'N7A'G/FREESTAND7NG)
Bal loon* Bmurer *Busin¢ss *Changeahle Cnpy Signs *Cmaerurlinn . Signs *1lhuainnnASigns *Drstitutimnal Sigus * /,ake Servire.Sigus*
Multiple Residential Nameplate Signs *On - Premise Direcrional.Sigus *Pernm rent lHadmv Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS
10. EstimatedVal_neofSigrs
(square feet) (Height) (Width) (Depth)
i'4 - ttc
11. Canpletton Dal
ti
7. TYPE OF CONSTRUCTION
d Yle'L� 4,) - b , S. C"
8. PROPOSEDDI�SPL Y AD F (ifapplicabl)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have famished information on this application which is, to the best of my knowledge, true and correct. 1 also certify that l am the owner
or authorized agent for the above - mentioned property, and that all 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 torjust cause. Furthermore, 1 hereby agree that City Officials or a designee thereof
may enter upon the property to perform needed inspections:'
( DATE
SltiNATURE OF PROPERTY OWNF.RIAGF.NT
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Apphcaiou
* Scale Drawing showing location ofsign
* Plans and specs
X Permit Fee $ 30 (Permit fee is set
at time of application according to approved schedule)
This Application beco your Sign Permit when approved.
13Y � w
y
/ y
Date /— t e7
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 t he City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions A A m gS • t LQ e %t e ( q[GO ►dj+q t0 ✓�eytMlWl'_ ( - 1K_N-1_1V't k- MiNiMNly
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met_ {t eewr.4- ef-wav��r..nlr. Amts �e�l XS�' YH7-Q$ to rclea�u�e {oodna inspecGan.
24 Hour Notice for All Inspections
447 -4230 from 9:00 a.m. - 10:00 a.m.
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NOT FOR
CONSTRUCTION
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DEVELOPMENT
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