HomeMy WebLinkAboutSign Permit 02-037
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City oCPrior Lake I ~Ir-"--' - "i
APPLICATI0(S5IGNPERMI11 ! .25.' Ji , '
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DIRECTIONS: One completed application per sign is required, Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible ror obtaining a building permit if necessary.
(ADDRESS)
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(ADDRESS) ,
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4. SITE ADDRESS OR LOCATION OF SIGN
2. APPLICANT: (NAME)
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3. OWNER: (NAME)
(PHONE)
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(PHONE)
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(PHONE)
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S. TYPE OF SIGN: (T{jIfPORA.RY~I DAY MAXIMUM DISPLAY) PERMANENT(WALLlMARQUEE/AWNINGIFREESTANDING)
Balloo,,* Banner*Businns*c'1iiiiifl1Ible Copy Signs.Construction Signs.Illuminated S;gns*/n . SI ns.Lake Service Signs.
Multiple Residential Nameplate Slgns.On-Premise Directional Slgns.Permanent Window SI *Portllble Sign Subdivision Identifreation Signs
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6. SIGN DIMENSIONS
(square reet)
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable) , i '1 ,," '-" ;7.
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
(Height)
(Width)
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(Depth)
110. Estimated Value of Sign
111. Completion Date
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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 ant the City Planner can revoke this permit for Just cause. Furthermore, I hereby agree that City OffiCials or a deSignee
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SIGNATURE <y PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
v ..completed Application
-;;;;r Scale Drawing showing location of sign
Plans and Specs
~Pennit Fee $ /\.00 (Permit fee is set
at time of application according to approved schedule)
This Applieation ~e~o~es your Si~n P mit w~ed.
By .
Clt$' Pla~~r or_4esl~
Date II . 'J I'J CJ)....
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
CITY OF PRIOR LAKE
18200 EAGLE CREEK AVE SE
PAtoA LAKE. MN 56372
(952) 447-4230, FAX (952) 447-4245
RECEIPT' 433] 4
DATE: ;, ...~:>.C!~9-
RHeived of, U. -& O.x.Ul ~.
thesumof tU{~-Lr') i .~A t..!C
for the purpose of
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