HomeMy WebLinkAboutSign Permit 11-018 bannerCity of Prior Lake
2011 APPLICATION FOR EVENT DRIVEN BANNER
or SANDWICH BOARD SIGN
DATE REC'D:
Permit No. S1 [ I 1 8
DIRECTIONS: One completed application per sign is required along with a
1. PARCEL I.D. OF PROPERTY:
schematic plan showing dimensions and a Public Property Use Permit.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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3. OWNER OF P TY: (NAME) (ADDRESS) (H )
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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5. SIGN DIMENSIONS
(square feet) (Height) (Width) (Depth)
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6. TYPE OF SIGN (Banner or Sandwich Board)
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ANNUAL SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
BOTH PARTIES MUST SIGN APPLICATION:
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, true and correct. 1 also certify that I am the owner
or authorized agent for the above - mentioned property, and that the proposed sign will confomr to all existing state and local laws, specifically in accordance with the
City of Prior Lake Zoning Ordinance Section 1700 (General Performance Standards) relating to banner and sandwich board signs, summarized on the back of this
application I am aware that the City Planner can revoke this permit for just cause. I am aware in the case of multiple tenants utilizing one approved location, I am
responsible for establishing a revolving rotation between businesses. I am aware that this permit will expire on December 31, 2011. Furthermore, I hereby agree that
City Officials or a designee thereof may enter upon the property to perform needed inspections.
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SIGNATURE 6F PROPERTY OWNERIOWNER REP. PRINTED NAME OF PROPERTY OWNER/OWNER REP, DATE
I hereby certify that I have reviewed the above information on this application which is, to the best of my knowledge, hue and correct. I also certify that I am the
owner of the business or organization, and that the proposed sign will conform to all existing state and local laws, specifically in accordance with the City of Prior
Lake Zoning Ordinance Section 1700 (General Performance Standards) relating to banner and sandwich board signs, summarized on the back of this application. 1 am
aware that the City Planner can revoke this permit forjust cause. lam aware that this permit will expire on December 31, 2011. Furthermore, I hereby agree that City
Officials or a designee thereof may enter upon the property to perform needed inspections.
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SIGNATURE OF APPLICANT PRINTED NAME OF APPLICANT DATE
FOR ADIMIPBSTRATWE USE:
SUBMISSION REQUIREMENTS
_mot Public Property Use Permit
(, I �C Illustration of proposed sign with dimensions
K it, J Completed application
— Scale drawing showing location of sign including proximity to adjacent signs (o �
Fee $ 15
This Application becomes your 2011 Evyat4kriven Banner or Sandwich Board Sign Permit when approved.
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City 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 W4— — Da ' —
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24 Hour Noti for All Inspections -447- 0
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T,:IHANDOIJTSIBANNER -SAND WICHBOARD SIGN PERMIT 20l LDOC