HomeMy WebLinkAboutSign Permit 13-24 - banner City of Prior Lake APPROVED
APPLICATION FOR SIGN PERMIT
Permit No. 1 — Z 4—
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if 025 D0 v 9to
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
�, 2A le Y'R 9D Co(baa�o stsE
�� oA L44 MA/ SS37a, . S37 954 -.RR 7o ao
3. OWNER: v (NAME) (ADDRESS) (PHONE)
S.4H -xe 45 , &o%
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
4 46 q0 10ldier4 CID S7 le LA , / q aa6 7446
5. TYPE OF SIGN: TEMPORARY (30 DAY MAXIMUM DISPLA 19 PERMANENT (WALL/MARQUEE/AWNING /FREESTANDING)
Balloon *Busines s<Changeable Copy Signs,Construction Signs *Electronic Message *Illuminated Signs *Institutional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs On-Premise Directional Signs *Permanent Window Sign *Portable Sign *Subdivision Identification Signs
*Note if the sign structure is above 6 feet the international code warrants a building permit.
6. SIGN DIMENSIONS 10. Estimated Value of Sign It / OD 0
(square feet) (Height) (Width) (Depth) /
d 11. Completion Date 1 -13
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable) Z
g -I 9 -I 3 -- -aa -13
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 conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware tha he City Plann-r can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property r • • :1 orm e de. inspections.
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SIGN . I RE IF PROPERTY OWNER/OWNER REP DA
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PRINTED E OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
I/Completed Application
l/ Scale Drawing showing location of sign
i f Plans and Specs
v Permit Fee $ 34,19D (Permit fee is set
at time of application according to approved schedule)
This Application becomes y:. Sign Permit when approved.
By
City Planner or desi• - e
Date i !i 1
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.
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Special Conditions tt LI Y AA r' tRS • r, , , '
I:\handouts \sign permit application.doc
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