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HomeMy WebLinkAboutSign Permit 13-25 e �#• o P t i lal • C City of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. sS -/3-.13" DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY: responsible for obtaining a building permit if necessary. 1 7 1 76 — oat —O 2. APPLICANT: (NAME) (ADDRESS) (PHONE) . c n Bo rnlla>'j g3 z. &ar Creek Cir. SCr #fit., MN SS318 9Sz -733- 3. OWNER: (NAME) (ADDRESS) (PHONE) 1yet 30.41--cif , q j 5. wtsly /3 i./e -1- 1' oar t Mlv '7$2 BSS'- `r.SC 4. SITE ADDRESS OR LOCATION OF SIGN (PHONE) Thu fo re. 6ri i I I SGI r C dress c O\) -612- ?8'C- 9 9S4 5. TYPE OF SIGN: TEMPORARY(21 DAYMAXIMUMDISPLA PERMANENT ALL/MARQUEE/AWNING/FREESTANDING) Balloon *Banner* Business *Changeable Copy Signs *ConstruetlonSigns *Ill s lnstitutionalSigns *Lake Service Signs* Multiple Residential Nameplate Signs *On- Premise Directional Signs *Permanent Window Sign *Portable Sign *Subdivision Identifrcation Signs 6. SIGN DIMENSIONS JO. Estimated Value of Sign ,1 1,1 00 0 (square feet) (Height) (Width) (Depth) q 7y. Cgsvc -1, y, g3 } • ( S -L3-f4 6c4, 11. Completion Date ! /i3 /t3 7. TYPE OF CONSTRUCTION S#ua m ount in•4ctl1 ves#ilule- o-F gci fv(ci45 I-0'5 way 13 8. PROPOSED DISPLAY DATES (if applicable) SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE I hereby certify that I have fumished information on th'. 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 pr .perty 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 C' Pl. er an revoke this permit for just c. - e. Furthermore, I hereby agree that City Officials or a designee thereof may enter upon the property to perform need= • i r ° ctio . 1/ 51t3 SIGir TURE OF RTY OWNER/AGENT DATE FOR ADNIINISTRATI VE USE SUBMISSION REQUIREMENTS Completed Application Scale Drawing showing location of sign X Plans and Specs c}1(---1 �,,� „ }2 Permit Fee $ y3 s �nt (Permit fee is set t l� V�-r' "F' ` J at time of application according to approved schedule) This Application becomes your Sign ' ermit when approved. By / .lanner, / designee Date 7 — 42—/ 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 -4230 from 9:00 a.m. - 10:00 a.m. ipv GEMINI INC. ATTENTION SEAN STYLE CUSTOM 101 WOMACK WAY CUSTOMER STE PSTO N E MARKETING LL C DECORAH IA. 52101 ORDER NUMBER 2496201 PO# POINT -LARGE CUTOUT PHO NE 563- DATE 8/28/13 REVISED MATERIAL ACRYLIC FAX 563 382 - 2682 SENT BY KRIS W /Ben Ahrens PRODUCT TYPE LASER CUT acrylic@signletters.com 1 SET -1/4" ACRYLIC 0 WITH ARROW REVERSE CUTOUT & 2 10" ARROWS PAINTED 2240 MAROON MATTE REST PAINTED 2025 BLACK MATTE STUD MOUNTS WITH A MOUNTING PATTERN Ze p C I INI 11111 55.8" / 10.31 "J ■ 1 g ri ll �ban* music 16.1" — 185.2" - WE NEED YOUR APPROVAL TO BEGIN PRODUCTION PLEA-;L EMAIL O(; FAX 'Y'our AF NOVAL TU THE. PRODUCTION PLANT A.D■E;ESS IS BE 0\7 EMAIL: acrylic©signletters.com Or' / F<: 563 - 382 -2682 I AGREE TO THE TERMS AND CONDITIONS APPROVED . PLS. CHANGE AS NOTED IN GEMINI'S PRICE CATALOG. AS AND RESUBMIT N � _,_-. ,'' - , ,,,,. ' V c \ & 0.) "A) K _ ,,,,' N..) . v i ''''''''') '4, 6 h5 ' '''' ec)--/ i -c 1 , ,,,,„ C- e ,,,,,t • t r,),Ib. kk , ' ' '' ' ' ' ' L' ' ' ' ' ' . . ' ' ' ' ' --'' ' ° ' ' k'' 1 , - - ..' i ' - , , . , ,,,- : , . " , : ! , . --'.. ' , : . ' ' , . ,: - , t - . , , , , ., ,... , ,, ,- 1 - , , ,,_ . ,: - _ , ., , , ,'- , ,.' ,,,-- ,,' ,,. ,- : :: ,, ,,,- , .;,, i, i t a :k , , , ,.,, , :, , , ,.' !''' ,, k :,:',',` :.,.. . , ,..' l 1 1 1 it.; ; ' : ' :, t , -- -f_il.' ' ' 1 .!, : .,: : : ' , - -' ' •"-,' ,., .,., :!••, --4 ,;'' t ' - • -,..,,' ' : ,.:' - - ' :.°' " , - i,' .,!' t ; 2 !,' : ' ,"' 4 ' , k. - ' : : ._.- ;- ,' ,,' , ‘: ! : .: f § 5r� N � • "+, II / aminiamommENE.,:-- ---, a. .. 1 _, . 1 ---..... .'''' .. - --Q . I: ,,.,,- 1 .i •*.....4 , .,,:_,,.,_...-,=.:, .1-, .,,,,...........__:_...:,...-..,:i,.-_. .= ,,aow .i. ..., .,..,..,... ,, ,..,,,..,,.....,,,;,,..,.....-,-,....,_,-,-_,......,-.....,,,,,T..i... _ _ � , . 1 ,,,.,,.,-..„:„...- ,..,..,„i.,,,_.,..., .,..,..,,,._..1.::::.,„,.,_:.,.,1, .,..,,..., . �E ^a ,4,..,... .., ,_-,..._,.., . .. „1„....,..._,,,,-,4..„... ;0'. , ■•,'-,. l':':f;:,', :i.' v PRIp RECEIPT # 70117 CITY OF PRIOR LAKE ,+ riti,c, 4646 DAKOTA STREET S.E. � PRIOR LAKE, MN 55372 U ) , = Crj (952) 447 -9800, FAX (952) 447 -4245 DATE: ( 41 INNEsd S. Received of -- J tc , (.4.1' --1 1 G 1 `'f :2 for the purpose of ma c - 't it p c, t-y1 ,� Payment El Cash /�� ( Invoice # M Check �) t� ` � ' 0 ACH ) r, - 1 _ , i .it Total 4 Receipt Clerk for the City of Prior Lake