HomeMy WebLinkAboutSign Permit 06-035 freestanding5' /rE /s1oNUMEr/7 5061•/
City of Prior Lake APPROVED
SIGN PERMIT APPLICATION
Permit No. s2- oK 3s
DIRECTIONS: One completed application is required PER SIGN.
1 1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
?s. 391- a
ooz •
2. SITE ADD SS: 3. ZONING:
AM S: McCIIET , S -E,
. &E
4. APPLICANT: (NAME) (ADDRESS) (PHONE)
SdW s- /N11 - "CH 16C 400,0
Cli f S "NE CoN ST. 6.
5mileo
Y pEE . A`^1 S
5. OWNER: (NAME) (ADDRESS) r1 (PHONE)
�/ /L R6E Cof"I". eCE 1 Co ME�� i,vE. /V6
q
a /NC, 11 yoxez Q LAKE, NU✓ SS3fa. 9 5J - y `�7° �6 2fv
6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off - Premise Directional Sign Portable Sign
Streamers and Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: _ /_/ To:
h. PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
Ott Premise Directia al Sign Permanent Window Sign S7rbdlvlstan en t tca ton rgn Wall Sign
I. SIGN DIMENSIONS:
S. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
/V — aeS><+r n w(ris
9. PERCENT OF WALL COVERED BY SIGNAGE:
(fD S 4 1 — $ 1 j F ll 3 7 / /gA/
N/A - sfirwa/ /`n
10. TYPE OF CONSTRUCTION/MATERIALS: 11. ES ATED VALUE of SIGN:
CMN SbNe E =Fs f �� 4900
12. COMPLETION DATE: /Fpuae✓( A m.F ',,
flprl% 2007 L /N 2004 J
A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
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 1 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 reVO this permit foriust cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perfot riled inspectio
10 7 -04
1GNATURE OF PR9 DATE
A 1 pe/ tz..r/ -
This Application becomes your Sign Permit when approved.
4410
FOR ADMINISTRATIVE USE ONLY:
Permit Fee a e. ermit fee is set at time of application according to approved schedule.)
/o- a7 -06'
/ - /-C ITY PLANNER OR DESIGNEE 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 the City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions: .S8 cvtt.tst de a /asO� M 7M %rtrwrutx s- 2>!ba.sK '�.»v &; eL>y/R6w /rues
,
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
h: \templates%signform,doc
0 2006 TUSHIWONTOOMOZY 4 455004M. IMC.
SITE NONUMENT SIGN
SCALE 3/8" = I' -O"
I hereby certify that this plan, specification, or report was
prepared by me or under my direct supervision and that I
am a duly Licensed Professional E sneer u d r the laws
of the State of Minnesota f
Brian J. Salfer
Date 1 - 7' 6 eg. No. 41632
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