HomeMy WebLinkAboutSign Permit 97-086 Temp Vegas
City of Prior Lake
APPLICATION FOR SIGN PERMIT
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White - Applicant
Yellow - City
Permit No.
17-0 y~
DIRECTIONS: Spaces numbered I thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
13 - Jar '-1--00&-0
2. APPLICANT: (NAME) (ADDRESS)
PRJOR.- LAIC-E- 6111 rl; &/'1#--'- /I0Io'77 JUUtAfl
3. OWNER: (NAME) (ADDRESS) ~I/?::.. 5E.
J)~138Ib H-)(.~m~s -/b&77 Jkl~Til /Ji/6.5b
4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
#7-~O/
(PHONE)
;pf7-;;lJD!
(PHONE)
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TEMPORARY (2i DA Y MAXiMUM DiSPLA Y) PERMANENT (WALL/MARQUEE/A WNiNG/FREEST ANDiNG)
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
6. SIGN DIMENSIONS
(square feet)
(Height)
1/
(Width)
I d- PI-.
(Depth)
10. Estimat~Value of Sign
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11. Completion Date
7. TYPE OF CONSTRUCTION
8.
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CESSED 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 permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to per orm needed inspecti ns.
q-6--11
DATE
SIGNATURE OF PROPERTY OWNER/AGENT
FOR ADMINISTRATIVE USE
/:ISSION REQUIREMENTS
~ompleted Application
~ hale Drawing showing location of sign
~ians and SPT {)1J
~ Permit Fee $ S-- (Permit fee is set
at time of application according to approved schedule)
By
'.//
/
Date
ity Planner'l'5r designee
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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,
Special Conditions
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24 Hour Notice for All Inspections
447-4230 from 9:00 a,m. - 10:00 a.m
CITY OF PRIOR LAKE
RECEIPT # 31414
DATE: 1/)l17
the sum of
dollars
'--
--------------
$
/ <)lYe;.")
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
Swr/Wtr Pmt sw #
Other
Total
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
Swr/Wtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swr/Wtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
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March 2, 1998
Prior Lake State Bank
Attn: Debbie Holmes
16677 Duluth Avenue
Prior Lake, MN 55372
Dear Debbie,
Enclosed is your $100.00 check for temporary sign deposit for "Las Vegas"
banner signs. Please call me if you have any questions.
EXPENSE CHECK
75-905/919
~
r:.tw PRIOR LAKE STATE BANK
8/26/97
PAY TO THE
ORDER OF
City of Prior lake
$ .....100.00
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DOLLARS
City of Prior lake
MEMO
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