HomeMy WebLinkAboutSign Permit 06-005 wallLU tVU(l 1:91i41ri SI.HRU Ir1RCY SIGPII;
City of Prior Lake
6�IGN PERMIT APPLICATION
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PerhSitd
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DIRECTIONS: One completed appGeatioQ
is required PER SIGN. 1. p ION NO.
SIGN PERMTrS WD.L NOT BE PROCB
ED IF IMY ARE INCOMPLET> . I-J
Z. SITE ADDRESS: UO'
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A. APPLICANT: (NAIVIE)
mac. Tgv z�,
ADDRESS) (PHONE)
0 F �fF" � 3 day
� v �3' l a1
S. OWNER: (NAME)
) In'1N
ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle)
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� 7 Z.
EM
a• TPORARYa Ba4fvm Slgn Banaidsrgn
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Canabaculon Skin O(TPreaiae LirettlonarSlgn Porlablr Srgn
Srmanrrr a+d Pennanm S lraar d0.aMr �
I 7eapn.nry Sirn
PROPOSED DfSrl -nY DAT¢S; F7am�
To!
h. I'MMAN¢NTZ Avnrng Sirn Lak
e Sign Meraatc Skai FrersmnJing Sign Manxdoald Sirn
on- Pr.mae Drnttk.al Sign Pernraner�G
;'c
nanw Sign Sgbdlv7llan JdendfMlbn Ap a 1 Sg
7. SIGN T)IMENSIONS:
H. TOTAL. WALL AREA:
(Total atea) (Height)
(Width) a th
(D P )
�I
9. ; £ACEN'T OF WALL C )VER€D 8Y SIONACE:
11. ¢STINIATED VALVE OF S10114
10. TYPE OF CO(VSTRUCTION /MAT
S:
11. COMPLETION DATE: c( I D
A sign plan must accompany this app
ation. Please attach a scaled elevation drawing of the total building wont to
which th
ign is to be afYaaed, accurately locating the sign.
11 the sign is freeslandinJ4attach
a scaled sitc plan .showing the exact setbacks of the sign,
The applicant is responsible forijbtaining
a building permit for freestanding signs over 6 feet in height,
I
I hcrcby cenify that I have tomiabed i0fommnon an t
application, Which if, to the Irfl of my ynoWledae, IN; Jnd CQr CL I a1a0 CCRn)' tlret I am the awnar
or authorized agent for Jte abovrmcmionad property •
With 3ubmt1li d plans. I am aria lMl I oy Pla
nd trot all e n will wnfom, m all existing sate aM local laws and WIII proceed in accordmce
« this pe it f m,
or Just cause. FLnheore. I be(cby uarec that Liry URIciani or a designee
Ihercofmay enter upon ate pmpcny rfo deede i1
m nv.
r
516 Al'UftE OF
ROP2RTY OWNERJAOENT DATE
This Appl
ation becomes your Sign Pe mil when approved.
FOR ADMINISTRATIVE USE ONLY- F
R� (/l - 5 - 6 - 06
Sa "vii;
le'T•II Ie::S
,:. iiriJit feC if iet ar ri s�of 6NpiieafiV1 uccafdnig iu approved §chedVlaJ
I
ITY
NNERO SIGNEE OATH
This Is to :citify that Inc reyuort in the above 0911
Will anal accampanylng aacumen¢ is m octoMUCC With the Ciry Sign Ordlnanoe and may procee0 as
rcQuec(ed. Thia document, when si5ned blithe Clry niter
o +doignee cenatimtes cOmpbmlm with the Sign Ordinanec.
Sae. al Conoiuons:
I
24 Hour Notice for All lnspeerions
4 1t -s2]0 aim+ 9:00 a.m. - 10.00 n.m.
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http://www.co.scott.mn.us/output/scottlayers_SCVVEB I 608284010729-png 5/l/2006