HomeMy WebLinkAboutLifestyle Con. sign permit
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. q 1-wJ
2. APPLICANT: (NAME)
(ADDRESS)
1. PARCEL NO. OF PROPERTY:
16511 Anna Trail
a~- g'Dd--~'-f1-~
(PHONE) 4 7 -Ill 7
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
Lifestyle Counseling
3. OWNER: (NAME)
S.E. Suite 201, Prior Lake
(PHONE)44 7 -1117
16677 Duluth Ave. S.~. Su~te 2U1
Loren E. Novak & Associates, Inc. Prior Lake, MN 55372
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
16511 Anna Trail Suite C, Prior Lake, MN 55372 447-1117
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAY) PERMANENT(WALL/MARQUEE/AWNING/FREESTANDING)
Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
16677 Duluth Ave.
(ADDRESS)
6. SIGN DIMENSIONS 2 s ig8s
(square feet) (Height)
27 #1 3 feet
15 2 3 feet
7. TYPE OF CONSTRUCTION Wood,
higlhtes~s, screw mounted
( see or awi ng ) 10. Estimated Value of Sign
(Width) (Depth) $ 7 7 5 . 00
9 feet 4 inche 11. Completion Date
~ feet 4 inche 02-15-97
cutout letters, black finish, attbrush
8. PROPOSED DISPLAY DATES (if applicable)
Permanent
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
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 pegpit for jysn:ause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perfo / inS;?ns. ",/ ~k~ d ~ ?
URE OF R E TV OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
I
SUBMISSION REQUIREMENTS
\ LmPleted Application
~~e Drawing showing location of sign
--0lans and Specs
::=2"Permit Fee $ ::n, '5D (Permit fee is set
at time of application according to approved schedule)
-Z~CI is-I
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This Application becomes your Si n Permit when approved.
/\ .
'()A '
By , /!/1;1A
City Planner or designee
1- E~g ~'17
Date
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 a temporary Certificate of Zoning compl iance and allows construction to
commence,
Special Conditions 'Sf) qij-/f)() .'f1 of1.tr 'SAJI' "Ion i1lM LrkJ~f
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m,