HomeMy WebLinkAbout04-06 Sign Permit
City of Prior Lake
APPLICATION FOR SIGN PERMI
Permit No, OLI -00
(ADDRESS)
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(ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
, 6 11~ r1~\Yl Ave
5. TYPE OF SIGN: TEMPORARY(21 DAYMAXIMUM DISPLAY) PERMANENT(WALVMARQUEE/AWNING/FREESTANDING) (""',~
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*Rluminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
1. PARCEL I.D. OF PROPERTY:
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(PHONE)
I1ltSfJ9/2 (fo7 l(}7-)l.(l(6
(PHONE)
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
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6. SIGN DIMENSI01\fS,*- ~~A J -t' 'i ~T CANe)
(~l1l1aTe feet) ..;., ~lfelght) (Width) I (Depth)
.h :1 . 7 fS
fl ,g.u. ~ 'T /.~~ ,-=- <" Cf- NiHio /I
7. TYh: OF. C9NSTRUCTlO -/
V,',,- 1 MV5 aIUtV1t1rruJ'l1. Cctbt'l1-t' 5'
8. PROPOSED DISPLAY l\TES (if applicable)
)f- 10. Estima1eq ValuellfSign
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11. Completion Date
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished infonnation 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 aware tha~the . 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 orm nee ed . ecti s.
......
", if-1-ll -0 '1
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
V Completed Application
~ Scale Drawing showing location of sign
~ Plans and Spes:} /') .cd
V Permit Fee $ ,9./. (permit fee is set
at time of application according to approved schedule)
MAY
3_
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Date
Special Conditions
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
RECEIPT # 45777
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DATE: )'" .... T
Received of '1~=t:~>:J ~~, n ~;~ y~~?
the sum of : , . ,_. ,:,rf ,.;1..,-...---.....---.
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Invoice #
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84/15/2884 11:59 5874335955
PREC I S ION
PAGE 81
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Precision Signs
207 S. Main St.
_. Austin, MN 55912
lele]Jhune. 507-437-7440
fax. 507-433-5965
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