HomeMy WebLinkAboutSign Permit 06-027 wallCity of Prior Lake APPROVED
APPLICATION FOR SIGN PERMIT
Permit No. SI - 04-.2
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) (PHONE)
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3. OWNER: (NAME)) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. TYPE OF SIGN: TEMPORARy(2i DAYMAvmumDISPLAy) PERMANENT ( IVALL IMARQUEEIAIVNINGIFREESTANDING)
Balloon* Banner -Business -Changeable Cagy Signs "Construction Signs *lllnrninuted Signs "lnsOtntimud Signs"Lake Service Signs*
Muthple Residential Nanreptnte Signs *On- Prenrixe Direetinaal Signs *Permanent Window .Sign•Portable.Sign'Subdivlalot Identification Signs
6. SIGN DIMENSIONS
I0. estimated Valne of Sign
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(square feet) (Height) (Width) (Depth)
It. Completion Date 'S a
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7. TYPE OF CONSTRUCTION
8. PROPO D 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 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. 1 am aware that the City Planner can revoke this permit forjust cause. Furdrannorc, I hereby agree that City Officials or a designee thereof
may enter upon the property to perform ne ed in ctions
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SIGNATURE' OF PROPERTY wNSRlAOENT DATE
FOR ADMDJISTRATIVF. USE
SUBMISSION REQUWA4ENTS
Completed Application
Scale Drawing showing location of sign
Plans and Spec .v
Permit Fee $ (� im
fee is
(Permit sct
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
By 4
ity Planne or designee
Date 9 - 42— OC
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 a,
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 a.m. - 10:00 a.m.
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