HomeMy WebLinkAboutFire Dept sign permit 97-035
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Pennit No. q 7--03'7"
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before pennit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
~5-ro I - 0 r'd- -0
2. APPLICANT: (NAME)
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71 ,;-/~ pr
3~NER: (NAME)
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4. SITE ADDRESS OR LOCATION OF SIGN
(ADDRESS)
1?7,7? h~;f/~
(ADDRESS) .
(PHONE)
.~40 -r-rL/73
(PHONE)
(PHONE)
ZJ77-
'EMPORA (21 DAY MAXIMUM DISPLAl? PERMANENT (WALUMARQUEEIA WNINGIFREESTANDlNG)
Balloon * Banner* Business angeable 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
6. SIGN DIMENSIONS
(square feet)
(Height)
(Width)
?'
(Depth)
10~~~alue of Sign
11. Completion Date
32-
~E OF CONSTR~N
1':5E7/t/5Lf / k?;/LeE
8. PROPOSED DISPLAY DATES (if applicable)
~-I? -;7;; 1-2/ -f7
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 . Planner can revoke this rmit or just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the pr to perform eeded inspections.
~/~ -7'/
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
_ Scale Drawing showing location of sign
_ Plans and Specs
_ Permit Fee $ OftZ (Permit fee is set ..1.:0.-
at time of application according to approved schedule) lJ-I-o
This Application becomes your Sign Permit when approved.
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By
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 compliance and allows construction to
commence.
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