HomeMy WebLinkAboutSign Permit 06-028 wallCity of Prior Lake AP PROV ED
APPLICATION FOR SIGN PERMIT
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DIRECTIONS: O com 1 application per sign is required. Applicant is
1. PARCEL T.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
(J�� `J 9" 5y4 cC'Vkg ?9 f to -uQ v;, CT A)& 7C3 784 5y5
3. OWNER (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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S. TYPE OF SIGN: TEMP0RARr(2i DAPMAxIbfUMDISPLA PERMANENT A, ARQUEEIAWNING/£REESTANDING)
Balloon* Banner *Business *Changeable Copy Signs *Constructlon Signs *I! /unrinatedSigns *In unonal Signs *Lake Service Signs*
Multiple Residential Nameplate Signs *Oa - Premise Directional Signs *Permanent Window Sign *Portable Sigu *Subdivision Idend leadon Signs
6. SIGNDIMENSIONS
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
Completion Date
3 i1( , 77-71 1l
7. TYPE OF CONSTRUCTION
A b, CQ b, C�/ f10�re 5c
8. PROPOSED DISPLAY DATES (if plicable)
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. I also certify that I am the owner
will conform to all existing state and local laws and will proceed in accordance
or authorized agent for the above- mentioned property, and that all construction
with submitted plans. I am aware that the City Planner can revoke this permit forjust cause. Furthermore, I hereby agree that City Officials or desilmee thereof
may enter upon the property to perform nee ed ins coons.
SIGNATURE OF PROPERTY OWNEFJAG ENT ATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and S p eca p�s e.
Permit Fee S —tf" (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
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Date 9 -/2 oFi
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 the City Planner or designee constitutes compliance with the Sign Ordinance.
Conditions
Special
24 Hour Notice for All Inspections
4474230 from 9:00 a.m. - 10:00 a.m.
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