HomeMy WebLinkAboutSign Permit 06-037 wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. Oj� —37
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. APPLI ANT: (NA E (ADDRESS) (PHONE)
W �n>r,e►���,u`ul�
8011 A-N7 -A S il-06 //D /Si ST jUr IVEto PACXC #18S�7/ 9,�;I"� 7
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
S. TYPE OF SIGN: 2LMP0RARY(2l DAYMAXIMOMDISPLAJ) PERMANENT( NALLWARQ (JEEAIVNINGIFRF.F.STANDING)
Balloon * Banner -Changeable Copy Signs *COnslruction Signs* Il ltanirroeedSigns *Dtstitutioual Signs *Labe Service Signs*
Malfilde Residential Nameplate Signs *On- Prenrise Directional Signs *Permanent Niudmn Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS
10. Estimated Value ofsig y ,yD D
(square feet) (Height) (Width) (Depth
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11. Completion Date 3/ —el 7
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7. TYPE OF CONSTRUCTION
,40MINUAt !�Z)/ -cT. 2-'X16' B��kU7 �s'X g "fir cr�2oryr�
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 1 am the owner
or authorized agent for the above - mentioned property, and that all construction will conform w all existing state and ]real laws and will proceed in accordance
with submitted plans. I am aware that the City Planner ca voke this permi or as use- hermae, I hereby agree that City Officials or a designee thereof
may enter upon the properly to per ed i d s. ) _
SIGNATURE FPROPER NER/AGE DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
X Completed Application
1C Scale Drawing showing location ofsign
�- Plans and Specs
rs
J." Permit Fee $ 2O — (Permit fee is set
at time of application according to approved schedule)
This Application becomes you Pen lit when approved.
By
'T Plana or designee
Date / .a— ac- Oa;
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 r designee constitutes compliance with the Sign Ordinance.
Special Conditions
24 Hour Notice far All Inspections
447 -4230 from 9:00 a.m. - 10:00 a.m.
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