HomeMy WebLinkAboutSign Permit 06-009 Subdivision IDCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No-
ST -0 40^ 07
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DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) �t (PHONE) ly;f.S
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3. OWNER (ADDRESS) (PHONE)
4. SITE C DRESS OR LOCATION O SIGN (PHONE)
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5. TYPE OF SIGN: TEMP ARY(21 DAYMAXIMUMDISPLAY) PERMANENT( WAI. IJMARQUF.E /AWNING /FREESTANDING)
Balloon * Barnrer*Busfness *Changeable C0p3%S1gn,c*Conslrucdon Sign5*111uminated Signs -institutional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs*Un - Premise Directional Slgns Permanent Iriadow Sign *Portable Sign *.Subdivision Identification Signs
6. SIGN DIMENSIONS - -7 - ' %0 ` V'
10. Estimated Value of Sign
(square feet) (Het ht) (Width) (Depth)
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11. Completion Date
7. TYPE OF CONSTRUCTION
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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 of my knowledge, true and correct. I also certify that I am the owner
or amhorized agent for the above - mentioned property, and that all construction will conform to all existing stale and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to inform n ed i actions.
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GW TURE OF PROPliRT OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
X Scale Drawing showing location of sign
Plans and Specs
Permit Fee $ 30 0° (Permit fee is set Ghf,X 4'1217
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By
iry Plaann c designee
J 6 / —005 ig
Date
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 th City Planner or designee constitutes compliance with the Sign Ordinance.
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