HomeMy WebLinkAboutSign Permit 03-013
_1103 15:27
CITY OF PRIOR LAKE
City of Prior Lake r
SIGN PERMIT APPLICATIO .
9524474245
P.02
DIRECTIONS: One completed application i5 required PER SIGN.
SIGN PERMITS N..9T B PROCESSED IF THEY ARE INCOMPLETE.
UE!J ~IST .
1. SITE ADDRESS:
Permit No, m -(D 13
I. PROPERTY WENTIFlCATION NO.
p ~ k LI IV Ii. 'L. S E
(ADDRESS)
C 6Mf(/'1F.(J.. ;t, /.1. AK IE fA I< I< P.L A C E
5. OWNER: (NAME) . (ADDRESS)
I<()N HAS.tltko!..N' 6~()(/ SH,7H7.w,/V 1<0
6. TYPE OF SIGN: (Pleae circle)
(< ~5' 2S'
3. ZONING:
orD
4. APPUCANT: (NAME)
CfS-2../o/tT7-
, (PHONE)
er, IE Is Zo ".
>>13-.L
a.
TEMl'ORARl": "II... SIt,. /111,._ Sf,,, CMl/rd.,. S;''' ~..fH Dtr<<tfMM 51,,. P."Uk 5""
5~ 11_ P'nnll.." S""., lIIIn"u Tfttporarjf Si,,,
PROPOSED DISPLAY DATES: Ftotll: -1-1_ To: -I_f_
(j)
PERMANENT: .."",III, SiI" r.. ~nia Sit" M""... SiI. FrnsIamli", Sif" Mntll "'N sq"
0..-1',..;'1 DincJi.1IIIl sq. '-1111I., WiIHI_ SII" SabdhVltNI/~ SII. II'.I'S""
NSIONS:
(Hejjht)(p . '2:> I (Width)
II " "
8. Tar AI. WALL AREA:
(Depth)
0/ '1
9, PERCENT OF WALL COVERED BY SIGNAGE:
11. ESTlMATEDVALUEOFSICN,
12. COMPLETION DATE,
A sip plan must a"OmpaDY dds appUeadoD. PInse attach a .teaIed eJeQtion drawing of rbe toral building front to
which the rip is to be aftlxed, accuratdy10catinl the sip.
If the sip illreestaDcllDg, attach. KaIed tite piau sbo'frillJ the aact Ntbaeks of the ..n.
The applicaDt ill rcapoasiblc for obtainiDg a buildiDg permit for freestaadllll signs over 6 feet In height.
I hereby certify thalllulve furnished information on Ibis appli1:ation. ",hi1:h is. to I~ lint or my Iroowk~. ~ ~ ~=\. I also c:~{y thaI I am t\lc: owner
or authorized asent for the above-"...a;"..ed propen)'. and lhat all cON1lll~on will conform to ,lIl:lli,lilll 'lilt ,nd loc:allaw, and will proeeel1 in accord","
wilb submitted plans. I am aware that the City Planner nn ftvok. lhis permit for just l::lUSI, Fu"hmnort. 1 htrtby alJl'ft dial City Officials or a desil'lCII
thmJof may cntrr upon m. propeny to perti needed inspecli01l$.
Ii 13 ( . 2 7. 0 3
DATE
..
This ApplkatioD becomes your Sign Permit wheD approved.
FOR ADMINISTRATIVE USE ONLY: w.. Cf:;;
Pwnil Fee: S - (NoIC' P.rmit fn is Jel allim: of applicalion m:ordin. to approved schedule.)
..
This is <<l c:ettify that the request in the abo". applicatioa an4 KIlompu1"ins docllmcnU is in ac~1I: wilb ~ City Sir Ordinan" and may prllCec:d lU
requested. This document, when siped by the City Planner or dcJipe eonsrirutn 1:ornpliance wilh the Si8" Ordi"~e.
Spc1:iaj ConditiO'1$: ~I\ ~t tnall100n 10' &~. 'tvtO ~ Mild
I't1lffl1hun 40' ~ttra.:h41.
-. 24 HolB' NOlice for AlIln~tiom;
4474230 livm 9:00 un.. 10:00 a.m.
1.~'~
DATE
h'\templ~,\sisnrorm.dcx:
TOTAL P,02
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I
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
RECEIPT # 45004
DATE~~ { t {)3
{-t,1 "
( ~iLOlt-jL
Received of
the sum of
for the purpose of
dollars
7LVj Vl ff:; M~ti:
I
$ f/),.&V
Invoice #
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if (I A I i r. r
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Receipt Clerk for th~ Ci~ of Prior Lake
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