HomeMy WebLinkAboutSign Permit 11-41 oho
o va City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 1 is L i I
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary. ) f , l 4 `I _ 6 —e
2. APPLICANT: (NAME) (ADDRESS) > (PHONE)
X e G I o33 Co MwNek.e due , N E
3. OWNER: ` (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCA�FION OF SIGN (PHONE)
1 CawAvA,erce A t . N 952- 3/ii --867
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) PER (W MANENT LLMARQUEE/AWNING /FREESTANDING)
Balloon* Business *Changeable Copy Signs *Construction Signs *Electronic age71r umrnatedSigns *InstitutionalSigns *Lake Service Signs*
Multiple Residential Nameplate Signs *On- Premise Directional Signs *Permanent Window Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS to. Estim ed V�aloof Sign
(square feet) (Height) (Width) (Depth) P7(/t
3 0 �� / / 5 1 11. Completion Date
7. TYPE OF CONSTRUCTION 1 I \
Mel \ '� w � w
KwV. -"\ i4A e 6 rC s`, 44 )1
8. PROPOSED DISPLAY DATES (if applicable) U
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that 1 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 conform to all existing state and local laws and will proceed in accordance
with submitted plans. i am aware that the City •lann r can revoke is permit for just cause. Furthermore, i hereby agree that City Officials or a designee thereof
may enter upon the property to perform nee. Allt? )tions.
i� 0 9/2711(
SIGNAT • E OF PROPERTY 0 ER/ WNER REP DATE
; A V \
PRIN ED NAME OF PROPERTY
FOR ADMINISTRATIVE USE
SUB SION REQUIREMENTS
tZ pleted Application
ale Drawing showing location of sign
pens and Specs .it /
Permit Fee S J✓ (Permit fee is set
at time of application according to approved schedule)
This Application becomes our Sign Permit when approved.
By GG�. - v
City Planner or designee
Pl
Date d --C 1 — I i
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
24 Hour Notice for All Inspections- 447 -9810
I: \handouts \sign permit application 2010.doc
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