HomeMy WebLinkAboutSign Permit 03-026
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City of Prior Lake
SIGN PERMIT APPLICATION
Permit No. C8-0:;J/0
DIRECTIONS: One completed application is required PER SIGN,
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
1. PROPERTY IDENTIFICATION NO.
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2. SITE ADDRESS: I L t:Jtal f ('
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4~tLICANT: (NAME) (ADDRESS)
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5. OWNER: (NAME) (ADDRESS)
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6. TYPE OF SIGN: (Please circle)
9S-ClQ(p-oV8-0
3. ZONINGz.._1
(PHONE)
76"3 . if 771-11-' 0
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TEMPORARY: Balloon Sign Banner Sign Construction Sign Off-Premise Directional Sign Portable Sign
Strefimers and Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: _/--...!_ To: -1_/_
~ ~ PERMANEN~ Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
.,-- ...."- ~."',.,m;..:~ional Sign Permanent Window Sign Subdivision Identification Sign ~all :>tgn ~ ~ ~I')tt.t"
~ tc,~tt\ 7. SIGN DIMENSIONS: eft S+~Nq 8. TOTA;;ALLAREA: t::...'l).,r=7"
e\-~~' , ;;:;:/:a~ n (Heigh~ tWidth) (Depth) -/1 'U-./I{.../
\]I r;- ~ 7C/ ~O ( ( '2 I __ 9. PERCENTt: SLt1~VEREDt. ~rtAE:
0:-' 10. TYPE OF CONSTRUCTION/MATERIALS: 11. ESTIM?-TEDVALUE O. FSIGN7 T ~ I
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f, M1-1 c. ( fT VtU \IJ\) v.r-...... 12. COMPLET N DATE:
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A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
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 1 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 nee d in ctions,
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NATURE OF PROPERTY OWNER/AGENT
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This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: ~ f\ CO
Permit Fee $ , ~_l..J. (Note: Permit fee is set at time of application according to approved schedule.)
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C TY PLAN \fER~SIG~ DATE
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,
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Received of
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:he sum of
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:or the purpose of
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
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RECEIPT # 45J43
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R~ceipt Clerk f~r the City of;Prior Lake
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SIGNS UNLIMITED
7634782034
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fROM : PROPERTY MAAffiEI'ENT FAX NO.
s.p 23 03 09:38.
S.p 23 03 D?41a SIGNS Uh~.M1TED
6514398482 Sep. 23 2803 lI:22AM PI
7634782034 ~.S
City 0( Prilar bke
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