HomeMy WebLinkAboutSign Permit 03-029
r2003
14:39
CITY OF PRIOR LAKE
9524474245
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City of Prior Lake
SIGN PERMIT APPLICATION
Permit No. L")?;OM
DIRECTIONS: One completed application is required 'PER SIGN. I. PROPERTY rDENTIFICA TION NO,
SlGN PERMITS WILL NOT BE PROCESSED IF ll1LY ARE INCOMP~TE, 9-'J - ctOc9-- CfC( _I
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2. SITE AD:i1RES : or/) . f 3. ZONING:
-; /' .I!d" -1:1,,.U/( /};:;J;.u4V #'0iJ/)-u~A ~, : If-fC 15"/1Lf:
4, APPLIC ; . (NAME) (ADDRESS) (PHONE) ,
s'T - l---I\ I CA-lA.elJS.
5. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle)
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TEMPORARY; Ba//oon Sign Bllnntlr S*i;:;/ SlglJ OU-PNn,,;u Directiong/ Sifn Pot1abltl SiGn
Sfretpnen alld Penfl..ntt St~et Banner To 0' .
PROPOSED DISPLAY DATES: From: ~ 10: &;.;J.5/..A,3
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PERMANENT: AWIJlllt Si:n Lake Seflllce Sign Marquee Sign Fret!!Jta/l.dlng Sign Menu B()tt,r/ Sisn
On-P'tlrIll5tl DireCliofla/ Sign Penna"'1lI Window Sign Subdivision /dentijlctlllon Sign Willi Sign
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7, SIGN DIMENSIONS:
(Total area~
?:>~ '-f-! f' #- 't .f6-
10, TYPE OF CONSTRUCTIONIMATERIftXS:
8. TOT At. WALL AREA:
(Height)
(Width)
(Depth)
9. PERCENT OF WALL COVERED BY SIGNAGE:
11. ESTIMATED VALUI: OF SlGN:
12. COMPLI:TION DATE:
A sign plan must accompany this application, Please atta~h 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 freeitanding, attach a scaled site plan showing the exad setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
I hereby certity that I have furnished information on this lI11pJication, which is, to the Dest of my knowledge, true atId correct. 1 also certify that 1 am the owner
Or lIuthoril:cd agent for the above.mentioned property, Qnd that all construction will conform to 411 exi~tini st:lte and local laws and will proceed in accoTdance
with submitted plans. I am aware that the City Planner can rcvoke this permit for jllsl cause. Furthermore, I hereby agTec that Cilj' Officials or a designee
thereof may enter upon thc propertY lO,perfonn needed inspections. r
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SIGNA TURE OFPROPERTY OWNER! AGENT DATE "'+-7 ~ VL /
Pe.-l BL K .~ V\.6~'-,~ Pn(Y LCtte_ 011A::1L. LxJn~
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This Application becomes your Sign Permit when approved:
FOR ADMINISTRATIVE USE ONLY: I L=.lA-
Permit Pee S . J (Note: Permit fee is set at time of application according to approved schedule.)
IO.J.b'O~
DATE
This is to certify thar the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may procCt:Q as
requested. This document, when signed by the CitY Planner or designee constitutes coml'li311c:e with the Sign Ordinance.
SpccialCol1ditions: ~V~ 'fICO I~j'"
24 flam Notice fOr Al1ln~pcctions
447-423() Irom 9:00 a.m. - 10:00 1I.m,
h :\teml' I ates\signfonn.d oe
TOTAL P.02
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Received of ,- '-- V \.-~ \,j ,~-
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the sum of I '-1 '-'1' '
for the purpose of
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$ j l ,)1 ,...<~__-_.
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 # 45706
DATE:. \0 -I ':7 . c)?~
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, dollars
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.' Rece'ipt Clerk fo'r thaQj.ty of Prior LZake
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