HomeMy WebLinkAboutSign Permit 14-03 Michaels Bicycles I
City of Prior Lake ( — 1 I q
APPLICATION FOR SIGN PERMIT
Permit No! 3 4 4'
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary. 695-- 4-_7 / i (z I-. C)
2. APPLICANT: (NAME) (ADDRESS) (PHONE) HONE) �, ( ),, C�V�.
fr chat.(: , to t e.( —' bi (i t o 13 Sudi/i 031,X;
3. OWNE (NAME) (ADDRESS) J (PHONE)
4. SITE ADDRESS OR LOCATION OF SIGN (PHON E)
X73( L 13,5)LL \--
5. TYPE OF SIGN: TEMPORARY (30 DAY MAXIMUM DISPLAI9 PERMANENT ALL/MARQUEE/AWNING /FREESTANDING)
Balloon * Business *Ckangeable Copy Signs *Construction Signs *Electronic • ated 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$ .
(square feet) (Height) (Width) (Depth)
11. COMplki,4 014,, , ,sortooffir
7. TYPE OF CONSTRUCTION St ' )
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8. PROPOSED DISPLAY DATES (if applicable)
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 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 property to perf need . nspections.
10-e0 ! /iOf2 (+
SIGNATURE OF PROPERTY OWNER/OWNER REP DATE
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS 1
ompleted Application # 33�
1/,Scale Drawing showing location of sign A /11 V r7
P lans and Sp {/ (j
ermit Fee $ l,. (Permit fee is set 10 +,
at time of application according to approved schedule)
This Application ecmes your Sign P rmit when approved.
(,icitc,— • ;
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City Planner or design
Date I ' [ V ' I 4f--
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
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