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HomeMy WebLinkAbout14-13 Sign PermitCity of Prior Lake APPLICATION FOR SIGN PERMIT Permit No. A10 DIRECTIONS: One completed application per sign is required. Applicant is I. PARCEL I.D. OF PROPTRTY: responsible forobtaining a building pern €ii if necessary. 2. APPLICANT: (NAME) (ADDRESS) (PHONE) �� �✓ P �i.0 e1 3. OWNER: (NAME) (ADDRESS) (PHONE A . 1, 1 i(� 4 L4 -- I — c= t 4. SITE ADDRESS OR LOCATION OI<SIGN (PHONE) 5. TYPEOFSIGN: TEAtpoi? ARi ,(2iDai ',1I.IJIIAIUAIDISPLAI9 PERAIAAFA= Tf liAI. UAIIRQUEEIsITr 'NINGIF- REESr,-INpIA'G) RnUonrr�llr€ rlrler "'IIr1slltess�Cltmrgerrble Cop, E �l� '1r5�'COlr5(!'lIC17011.Sfg /r5�` Illr fAr�l1 R( t' II. S' lglf5{` I11 5( r( 11 11 0/r frl. �� g175�L(1{f2SFI €'!Ct- '.S'lgrr5f` Alrrlriple Resirlerrllnl A`rrrueplMe Slgns'Ou- Pr'tnrise Dlrrcliourtl Slg!€s °Perrurrrr¢nl JI irtrlo€vSlgrr�Pn!lrrLle Slglr �Sr€brll clslart IrleAlfcrr(lorr Slgus G. SIGN DIMENSIONS (square (Height) (Width) (Depth) lo.) slimatcrl 1`n[uc ofSlgtf�� feet) 11. Completlon DA(c 7. TYPE OF CONSTRUCTION y 8. PROPOSED DISPLAY DATES (ifapplicable) 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 €ny knowledge, true and correct. I also certify tilat I am the o +finer 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 submi(led plans. 1 an am-are that the City Planner call revoke this permit for just cause. F'urthennore, I hereby agree that City Officials or a designee thereof may enter upon the property to perfonn j,cqj inspections. 1 f d1 1 SIGNATURE E OF PROPERTY OWNERIAGENT DATE c� _ FOR ADMINISTRATIVE USE — REQUIREMENTS ` ( SUBMISSION V° ompletedApplication S cale Drawing showing location ofsiga Plans and Spe s _ e �{ Perinil Fee $' (Permit fee is set C)f t� l f r (1 , at tune applt tion 11 �—Uh g to approved schedule) U �'44 This Application ecoi es your Sign Pei' nit when approved. By t annex or es'gnee Date This is to certify that the request ill the above application and accompanying documents is in accordance wilh the City Sign Ordinance and may proceed as requested. This document, when signed by the City Planner or designee constitutes compliance with it :e Sign Ordinance, Special Conditions 24 Hour Notice for All Inspections 447 -4230 from 9:00 a, in. - 10:00 a.m. 1:1€andouts12006 handautslzonin&igu permit application.doc 0 TRI M. CITY OF PRIOR LAKE 4646 DAKOTA STREET S.E. 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