HomeMy WebLinkAboutSign Permit 13-29 - Trabing Insurance 4yc
City of Prior Lake
APPLICATION FOR SIGN PERMIT 05
Permit No — ` AO
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary. C S —(q t ~ u. 5 0
2. APPLICANT: (NAME) (ADDRESS) # -W
(PHONE)
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3. OWNER: (NAIE) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN l (PHON E)
Iyl ` (CCc u„rniwv- , e 4 ,t � N0- sfiz 100 C � T37J 9 �2- 2n - A22 ?
5. TYPE OF SIGN: TEMPORARY (30 DAY MAXIMUM DISPLAYKPERMANENT ALL /MARQUEE/AWNING/FREESTANDING)
Balloon* Business *Changeable Copy Signs *ConstructionSigns *Electron ess_ase* mated 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. Estimatgd of Sign
t(1
(square feet) (Height) (Width) (Depth)
( I t ) 11. Completion Date
21) • 2 1 l z l 7 /2.frpb 3
7. TYPE OF CONSTRUCTION
C.; D C J Le1 .1 S
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 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 Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the prope o rform needed inspections.
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SIGNATURE OF PROPERTY OWNER/OWNER REP DATE
Z vl r A (4 ,..r 4,
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS l
Completed Application �J�
✓Scale Drawing showing location of sign
✓ Plans and Specs �I
1 - Permit Fee $ ./0 (Permit fee is set
at time of application according to approved schedule)
This Application es your Sign Permit --) when approved.
City Planner or esignee
Date Gq/
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 (JO Lc_
I:\handouts\sign permit application.doc
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