HomeMy WebLinkAboutSign Permit 02-023 -Oversize Plan
City of Prior Lake ~
APPLICATION FOR SIGN PERMIT ~
Permit No. <OJ - O,;l'!:l
DIRECITONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
I, PARCEL LD. OF PROPERTY:
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4, SITE ADDRESS OR LOCATION OF SI N
/6~55- ;C-""d~ #.v/. .FE.
5. TYPE OF SIGN: TEMPORARY(2l DAY MAXIMUM DISPLAY) PERMANENT(WALL'MARQUEE/AWNlNG/FREESTANDING)
BlIlloon* B",."er*BlUina,*CJu".,ellbk CoJJY Slgns*CoMtructiDn Si,m*m"",buztd SJ,If,*ll1stltrltlo"td Sigm*LaU Service Sigm.
Multiple ResidentUd Nameplate SigM*On-Premise Dinctlollal Slgn,*Pernufllelll Wbulow Slg,,*Port/lbk Sign*SubdhisiDn IdentifICation Sign,
(PHONE)
10.2, !;>7i''p-45;/
(PHONE)
-?J)- ,/J!--c;rEY
(PHONE)
dl,1 ~,. 4-/#
6. SIGN DIMENSIONS
(square feet) (Height)
~ y/
7. TYPE OF CONSTRUCTION
10. Estimated Value of Sign
6t:?'~t1"..?-
9-/5'-C72
(Width)
~/
(Depth)
y//
11. Completion Date
SIGN PERMITS Wll.L 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 cons . on will conform to all existing state and local laws and win proceed in accordance
with submitted plans. I am aware that the City Planner can revo 1 't for 'ust cause. Furthennore. I hereby agree that City Officials or a designee
thereof may enter upon the property to perform .
F/Fc2-:
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_ Completed Application
_ Scale Drawing showing location of sign
Plans and Spe'iiL 00
-r Permit Fee $ vD (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved,
BY~~
Date C(. l (.. O:;J.-
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
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. ' 10:00 a.m.
l:\handouts\signform.doc
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CITY OF PRIOR LAKE
18200 EAGLE. CREeK AVE SE
PRIOR LAKE. MN55872
(952) 447-4230. FAX' (862) 447""245
RECEIPT# 41669
DATE: ~-~"D7
dollars
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Receipt Clerk for the City of Prior Lake
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