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Sign Permit 13-32
City of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. , 32 e DIRECTIONS: One completed application per sign is required. Applicant is 1, PARCEL I.D. OF PROPERTY: responsible for obtaining a building permit if necessary. t3 � _ t 5- coD-C 2. APPLICANT: (NAME) (ADDRESS) (PHONE) 3. 0 NEi2:iTNA ,• F\ it r) I t , �! r 1 6, °C (ADDRESS) (PHONE) (doTx3 ` 11) 4. Up ADDRESS OR LOCATION OF SIGN 1 t49 ?k3 DIA ti SE HONE) 5. TYPE OF SIGN: TEMPORARY (30 DAY MAXIMUM DISPLA PERMANENT ( WALL /MARQUEE/AWNING/FREESTANDING) Barlow! Duslrre s * Ciraugeable Copy Sigtrs * Construction Signs *Electronic Message *Illnnrinated Signs *Inslirutiotral Signs *Lake Service Signs* Multiple Residential Nameplate Signs *On - Premise Directional Sigrrs *Permanent Window Sign *Portable Sign *Subdivision Identification Signs 6. SIGN DIMENSIONS 3 t_ a (square feet) (Height) (Width) (Depth) (Depth) 10. Estimated ValueotSlgn �� r i � tt it. Completion Date 7. TYPE OF CONSTRUCTION It .-v *e V a 1( I IL) t■ ivvaica C1 ytvt t( \ '1-e.,r3 t Loci O 8. PROPOSED DISPLAY DATES (if applicable) SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE i hereby certify that I have tarnished information on this application which is, to the best of myknowledge, true and correct. I also certify that I am the owner or authorized agent for the above - ,mentioned property, and that all constmetion will conform to all existing stae and local laws and will proceed in accordance with submitted plans. I am aware that the City Planner can revoke this peter tit for just cause. Furthermore, I hereby agree that City Officials or a designee thereof may enter upon the property to perform n ii ,. -"..a SIGNATURE OF PROPERTYOWNER/OWNER REP DATE / 0.4-1. erv' j� . ", PRINTED NRML- Or PRO TY OWNER FOR ADMINISTRATIVE USE — SUBMISSION REQUIREMENTS `r Completed Application V ,Seale Drawing showing location cif sign ✓ Plans and Specs Permit Fee $ i i . (01 (Permit fee is set at time of application according to approved schedule) This Application your Sign P it when approved. By i`b e. City tanner or designee Date 1 ( (0(( 2 _) 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 desigice constitutes compliance with the Sign Ordinance. Special Conditions > 24 Hour Notice for All inspections- 447 -9$14 l:Uhandouts\sign permit application.doc 0 o x Q ; i 2 II . , .iii rilti t ih;Lij i 11iI, � IT a te r z a = ' a R TA ,c ft N fil d 21101-.1 t • tl6 0 0: cz O © :. ,; 11 h. ! ii � �I = l t 1 �' 11 I iii lEimpu It I► 1 ii ? i�� _ , II C 1 : 1� 1 ' � 111111 ii�i i i 1� u 1��� „ II t all 11 �1 i II hII � .. ilia o !; I, 3 I[I IIII W II 4 h'i i 11 aft I l i j1[11111 I I jj` � 1 � �3 � o " .. , (-- . trz 14 1 ,,,,,_....H ' :2112 " 1 E{ t n • L O 090 0 0 ., r' 1 .0 11 d6 . G �� +. a i � 11 _ ll . :••• ..;:5911 L J 1 i 1 ..., . II A N , m 1 1 #, iA a= it 4 X!':' i c 3 V b C i h ! H 9 �`` ii X ii #rch R ' 4 ill I I 1 iii � omtla • i a. Is CO3 O•up ° II II a all �t�3u 1 i