HomeMy WebLinkAboutSign Permit 06-010((e
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. Sl- Oe lO
PTD'' AC- 4/7 0-241-,o
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) - fTf y 2-lZtr 6 ..R (PH E) Wr
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3. OWNER: (NAME) ( ADDRES' (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
5 7 k 42�. r,
S. TYPE OF SIGN: TEMP Y(2IDAYMAXIMUMDLSPLAY) PERMANENT( /PALLIMARQUEEIA IVNINGIFREESTAND/NG)
Balloon* Romer* Business *Clmrrgenbie Copp.Signs'Consrruelion Signs *Illmnittuted Signs *Insfittdionul Signs *Luke S'ervr�ce S'ifns*
Multiple Residential Nameplate.Signs*Dn- Premise Directional Signs *PermanenllVindow Sign *Portable Sign ubifivi'ionldend aiun .S %r. e7
b. SIGN DIMENSIONS /p Lf'
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
11. Completion Date
7. TYPE OF CONSTRUCTION
S. PROPOSED DISPLAY DATES (if a [cable)
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 aut 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 flier the City Planner can revoke this pernut forjust cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the prop" to form ne i - lions. ..
SIGN ATURL OF PROPERIA WNER/AGENT DATF.
FORADMINISTRATIVE F.
SUBMISSION REQUIREMENTS
X Completed Application
X Scale Drawing shoving location of sign A` F
-_1L Plans and Specs �+ [(
_ Pcmit Fec $ 30 (Permit fee is set
at time of application according to approved schedu e)
This Application becomes your Sign Permit when approved.
1Iy
ity Plagigr or designee
Date o2p - QO es
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This is to cerify that the request in the above Application and accompanying doctunents 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.
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Special Conditions OY% M � 6 /T! e '' TT M A ru Br 6h[
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24 Hour Notice for All In tions
447 -4230 from 9:00 a.m- - 10:00 a.m.
c9documents and scumgsllmatzkeNlocal settingsVemporary internet fileslolk l 131sign permit applicalion.doc
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