HomeMy WebLinkAboutSign Permit 15-30 wall signs - Charlie's on Prior City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.k 5�-
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D.OF PROPERTY:
responsible for obtaining a building permit if necessary. Ua o�a `0
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
Kaufman Sign Company 2714 East 33rd Street
Daniel J. Kaufman Minneapolis, M 55406 (612) 788-6828
3. OWNER: (NAME) (ADDRESS) (PHONE)
3950 Green Heights Trail
Charlie's on Prior Prior Lake, MN 55372
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
3950 Green Heights Trail
5. TYPE OF SIGN: TEMPORA RY(30 DAYMAXIMU.MDISPLAY) CERIM 4 NE_PO4 VAL/ fARQUEEIAIVNING/FREESTANDING)
Balloon—Business—Changeable Conv Signs—Electronic 3lessage—Illuminated Signs•-Institutional Signs--Lake Service Sighs--Multiple Residential
Nameplate Signs—On-Premise Directional Signs—Permanent IVindaty Signs•-Portable Signs-•Subdivision Identification Signs
*Note if the sign structure is above 7 feet the international code warrants a building permit.
6. SIGN DIMENSIONS ". 11 ,000
0. stirnated V lue of Sign
(square feet) (Height) (Width) (Depth) 11 ,000 1 sign
i , 1i 11. Com le ion gate
I `-� � = 3 26" 80" 1�1�15/15
7. TYPE OF CONSTRUCTION
Aluitli.num and PVC
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 perform necde ins ctions.
10/08/15
SId'NAfURE OF OP EPUOWNER REP DATE
Dan Kaufman
PRINTED NAME OF PROPERTY OWNER
--------------------------
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
ompleted Application ��/�
y�� t Scale Drawing showing location of sign L
1 1 �lJl P s and Spec
'emrit Fee 5 _(Permit fee is set
�.i at time of applicatiot.___ ;ng to approved schedule)
a.l 1 okl h This Ap lication b omes your Sign Per 't when approved; ,'
By
� t/}� City P no designee
�l / Date
`Z lD
r
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
1:\handouts&permit apps\pemrit applications\2015tsigns�sign permit application.doc
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