HomeMy WebLinkAboutSign Permit 11-032 - wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. S 1- L 1 -32
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
25.001.096.0
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
Integra Telecom 4690 Colorado St SE Prior Lake 952.226.7000
3. OWNER: (NAME) (ADDRESS) (PHONE)
Integra Telecom 4690 Colorado St SE Prior Lake 952.226.7000
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
4690 Colorado St SE Prior Lake (South) 952.226.7000
S. TYPE OF SIGN: TEAIPORARY(2I DAYMAXIMUAI DISPLAY) PERMANENT FALL ARQUEE /AWNING /FREESTANDING)
Rallom uslneas hmtgeable Copy Signs*Construction Signs Message *!llrnninnred igns *lnstiuuional Signs *Coke Service Signs*
Multiple Residential Nameplate Signs *Oa- Pfemise Directional Signs "Permanent Window Sign *Portable Sign *Subdivision ldentification Signs
6. SIGN DIMENSIONS
10. Estimated Value of Sign $2,000
(square feet) (Height) (Width) (Depth)
11. Completion Dale 7/15/2011
21.5' 42" 73" 1 a
7. TYPE OF CONSTRUCTION
Acrylic flush mounted letters /graphics
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 I am the owner
or authorized agent for the above - mentioned roperly and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that th Planner . re (tike this Perin it ior'ust cause. Furthermore, I hereby agree that City Officials or a designee lhereuI
may enter upon the property to perfa, rn1 inspe • i ins.
/ / /
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SIGNATU OF (1 R•1Y�11 "EERIOWNER REP DAIV I
O �lJt� -i1
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
V Completed Application
Scalc Drawing showing location of sign
Plans and Specs
Permit Fee $ 3S (Permit fee is set
al time of application according to approved schedule)
This Application h comes yougrermit when approved.
By v
'ity Planner or desiymee
Date - 2 Z — ( (
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
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24 Hour Notice for All Inspections- 447 -9810
I: %handoutslsign permit application.doc
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