HomeMy WebLinkAbout04-07 Sign Permit
City of Prior Lake
SIGN PERMIT APPLICATION
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Permit No. Q'1.f-EJ7
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1. PROPERTY IDENTIFICATION NO.
DIRECTIONS: One completed application is required PER SIGN.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
2. SITE ADDRESS:
ISoLS r(C{'1AkL~.\ 'Iv!
4. APPLICANT: (NAl'VIE)
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(NAlVIE)
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5. OWNER:
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(ADDRESS)
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(ADDRESS)
'Tri.
'd-C;-~ot;\ - 001 -0
(nl~l'=~~:"~ C,-c.p
(PHq~~IO -If S7 ~
SE . 7'5:;. -4L{O zeS'S3
(PHONE)
!\Jor-.e K I ':[;uC .
6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: alloon Sign Banner Sign Construction Sign Off-Premise Directional Sign Portable Sign
amers and Pennants Street B . emporary Sign . . .
PROPOSED DISPLAY DATES: From: ~..JJ1JQ~ To:~15.J Of(-
b.
PERiVlAJ"IENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign
On-Premise Directional Sign Permanent Window Sign Subdivision Identification Sign
Menu Board Sign
Wall Sign
7. SIGN DIMENSIONS:
(Total area)
(Height)
,3d ~1- J- L1 i
10. TYPE OF CONSTRUCTIONIMATERlALS:
(Width)
(Depth)
~'
U I \t\ '-1 (
o r
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11. E.STlMATED VALU~ OF. SIGN:
~~ 100 . ('k,\.tJ:~ct 6
12. COMPLETION DATE:
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 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 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 t erform needed inspections.
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N TURE OF PRO.. PERTY OWNER! AGENT .J
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5/ U3(()L(
l DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: , /,- UJ
Permit Fee $../' (Note: Permit fee is set at time of application according to approved schedule.)
~7j CO LV I~)C:')A r-
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.
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DATE
Special Conditions:
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
h: '-temp lateslsign form. doc
ROM"
09:25A F "
MAY-4-2004
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F~f,f, l..hi\d ID l..ards . Fingerprintin9 . Denta\ ID Mar~in9s
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DATf,: ~aturda~, Ma~ 15th
TIMf,: 11:00 - 2-:00
'PLAl-f,: La"e 'Par" 'Plate
al.r055 from U'5 e,an~ a\ong HW1 13 (I'iSI'i Fran~\in i rai\ '5(,)
FO~ ADDITIONAL INFO~ATION l..ALL:
1.,,- - 440 - 4.,.,~
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Q f~f,f, IdentifiGation Gards for ~ids
Q F~f, faGe painting and ba\\oons
Q F~f,f, Gar seat safet1 tips b1 the 'Prior La~e 'Po\iGe Department
Q F~f,f, dental, vision, and spinal sGrunings b1 \oGa\ dOGtors
Q Fire '5afet1 demonstrations b'f the 'Prior La~e Fire Department
Q 'Power line safet1 demonstrations b1 Minnesota Va\\e1 f,\eGtriG
Q G.1mnastiGS demonstrations b1 G.\eason's G.1mnastiGs '5Ghoo\ ('1:'30 and 11-:'30)
Q La~e ~ ~ver purit1 demonstrations b1 'Prior La~e/'5pring La~e Watershed distriGt
Q f,nvironmenta\ safet1 demonstrations/information b1 \oGa\ l.ub '5Gouts
Q '5wutness the horse wi\\ be here for ~ids to pet!
Q Mut representatives of f,ar\1l.hi\dhood fami\1 f,duc.ation
,... '* Watkins Family Chiropractic '* Family Vision Clinic
~ Dr. Josh Watkins. 952-440-4553 Dr. Stefanie Hurst. 952-895-5434
-a '* '*
~ Morgan & Babcock Dental Prior Lake Rental Center
s-
o Dr. Thomas Morgan. 952-440-4611 952-447-7000
~
C '* Pepsi Bottling Company '* Apex Graphics
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0- 952-226-1050
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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 # 45776
DATE: -Mwo 3, cx.f
I
Received of (j)~~~ ~vockt{
the sum of \ '
~
for the purpose of ~. ~ l1PPA~
141-;5}) \
(; 15v,1P ~0l-
dollars ,I
Invoice #
$