HomeMy WebLinkAboutSign Permit 04-009 wall
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SIGN PERMIT AP~ ~'(~A1B.N"" 8 2004 ii:i
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DIRECTIONS: One completed application is required PER SIGN.
SIGN PER1WTS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
ENTIFICA TION NO.
dS.... '13""01 too~
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3. ZONING:
2. SITE ADDRESS: /5750
4. APPLICANT: (NAME)
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5. OWNER: (NAME)
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(Please circle)
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, (ADDRESS) (PHONE)
lo?c> 33"dM 5,F, ftt~rJt7/1~/;.s1 IIrt 5fP'I 651-6/jf'~B507
(ADDRESS) (PHONE)
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a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off-Premise Directional Sign Portable Sign
Streamers and Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: -.-l_I_ To: -.!-.-l_
b.
PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Men" Board Sig"
On-Premise Directional Sign Permanent Window Sign Subdivision Identification Sign ~
8. TOTAL WALL AREA:
7. SIGN DIlVIENSIONS:
(Total area)
?~ 51ft
10. TYPE OF CONSTRUCTIONIM.4.TERIALS:
(Height)
Ljl
(Width)
~I
(Depth)
I ., 'J. 0 ~f F+
~Ch3
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9. PERCENT OF WALL COVERED BY SIGN AGE:
~.6 %
11. ESTIMATED VALUE OF SIGNf 6 OCJ~
12. COMPLETION DATE: '8' '" /5 -or
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 to p orm needed inspections.
7.- ;) ~o L(
DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: 2. l?j2..-
Permit Fee $ LJ(). (Note: Permit fee is set at time of application according to approved schedule.)
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CITY PLANNER OR DESIGNEE
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DATFj
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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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
RECEIPTi' 47505
DATE:~ 7JJ "6~
Received of
-
dollars
the sum of
for the purpose of
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Invoice #
$
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