HomeMy WebLinkAboutSign Permit 03-027 - Temp - Mary's on Main City of Prior Lake
SIGN PERMIT APPLICATION
Pr-to,-
DIRECTIONS: One completed application is required PER SIGN. [
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
Permit No.
1. PROPERTY IDENTIFICATION NO.
2. SITE ADDRESS: ~
LS'q
4. APPLICANT: (NA!~E) !
5. OWNER: (N~'~L~-~
6. TYPE OF SIGN: (Please cir.)
(ADDRESS)
3. ZONING:(~_ ~
(PHONE)
(ADDRESS) (PHONE)
TEMPORARY: Balloon Sign an~ Sign ) Construction Sign Off-Premise Directional Sign Portable Sign
Streqmers and Pennants Street Banner _ Ten~porary Sign //
PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
On-Premise Directional Sign Permanent Window Sign Subdivision Identification Sign Wall Sign
7. SIGN DIMENSIONS:
(Total area) (Height) (Width)
70sF ;ru. Io
10. TYPE OF CONSTRUCTION/MATERIALS:
(Depth)
8. TOTAL WALL AREA:
9. PERCENT OF WALL COVERED BY SIGNAGE:
11. ESTIMATED VALUE OF SIGN:
12. COMPLETION DATE:
A sign plan must accompany this applicffiion. 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.
hereby certify that I have furnished intbrmation on this application, which is, to the best of my knowledge, true and correct. I also certify that I am the owner
)r authorized agent for the above-mentioned property,.and that all constructio~ 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 _o~desig.n._ee
thereof may enter upon the propped inspecn o~.~~A~~O~FP ~~?''~ C ....... ~,. ' '
"OgT I
This Application becomes your Sign Permit when approved. ~.
Permit Fee $ ote: Permit fee is set at time of application according to approved schedule.)
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.
h:\templatesXsignlbrm.doc