HomeMy WebLinkAboutSign Permit 11-033 - wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.SI _ H —"3
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 (East) 952.226.7000
5. TYPE OF SIGN: TEMPOAARY(21 DAYMAXIMUMDISPLAY) PERMANENT AL IARQUEE /AWNING /FREESTANDING)
Balloon haageable Copy Signs* Construction Signs-Electronic hlessnge *illuminated igns *Drstimtional Signs *Lake Service Signs*
n.ciness
Multiple Re ideotiat Nameplate Sigar *Oa- Premise Directional Signs *Pernmttent 1r rndow Sign *Portable Sign *Subdivision Glentifrcation Signs
6. SIGN DIMENSIONS
10. Estimated Value of Sign $2,000
(square feet) (Height) (Width) (Depth)
21.5' 42" 73" l rr
11. Completion Dale 7/15/2011
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 property, and that all construction will confom to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner yan revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee thereof
may enter upon the property to. pe 6 }s.
D n '
ROPERTY OWNER/OWNER REP
*PRINT,D
OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
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Application
Scale Drawing Scale Drawing showing location of sign
Plans and Specs
Permii Pee S ?,S (Permit fee is set
at time of application according to approved schedule)
This Application becomes vo Sig1,I Permit when approved.
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Planner or designee
[ ity
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Date
'Phis 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
24 Hour Notice for All Inspections - 447 -9810
I: \handmdS\sign permit application.doc
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