HomeMy WebLinkAboutSign Permit 97-095 Temp Vegas
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City of Prior Lake
APPLICATION FOR SIGN PI~RMIT
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Permit No. q7-- ()f.)S"
White, Applicant
Ycllow ' City
DIRECTIONS: Spaces numbered 1 thrt! 10 must be filled in before permit is issued
(Pllfl~)?rint or typ~, and sign whe;:.c required, '5 '}
Ut!./ 0 Il~ t..J.) /.(b .::;rr-/:l T (:- Ii rJ k.
2. APPLICANT: (NAME) (ADDRESS)
PtZ ID fl:. LAKE_ StAJJ: :&-irVlt.. - I L) lo '1_2_~LLJc~J:lLj.lv.f~_:jf._~~/ 7 ~."<;)/gJ_.
3. OWNER: (NAME) (ADDRESS)
.1 (o/o=Z]___;1;?,,~~().-T I-LnniIl{f.~_5f.___.__._.. .,____.___
4, SITE ADDRESS OR LOCATION OF SIGN
1. PARCELr-N,.lO:'lOF P~OPERTY:
d2~l? cr DLf9 -1_
(PHONE)
(PHONE)
.(l~{]"'c21 0 I
(PHONE)
d).E f?2.B Le _i~5---=----'~::=:C::=-____~_____._"__m_____.___.___
5. TYPE 0 F IG N:C TEMPORAR Y i7UJAX.M.dX1.MUN DISPLA 1J PERMANENT (W A LUMARQUEEIA WNINC;;FR EESTANDlNG)
BaIfOOlI:!:1i~II;1e;* uIilless"tholljfeiibi~-Copy Signs*COIIstf'Udi;;;;7;/giiS-;;llfumilloted Signs*lllstitutiollo1 Siglls*Lake Sal'ice Signs *
Multiple Re~1{I1!iitilll Nameplate Siglls*On.Premise Directiollal Siglls*Permanent Window Sigrt*PortaMe Sign*Sul"lil'ision ldelltificatioll Sigm
6. SIGN DIMENSIONS
(square feet)
(Width)
(Depth)
10. Estimatcd Valnc lJ!,Sign .
'-/J/ 1, /'\ 0''0
___~~_~____.___----.l_~___~_.~~~ ~_
II, Complction Datc
(Height)
~3D,__~'m' :L '/;J.. ~/.
7. TYPE OF CONSTRUCTION
~PROPOS~~P~~.D~13~(~'P~b:2u d~IJ//.J-!m'. ,W ..., ,-__
f;IGN PER'MITS 't LL NOT HE PROCESSED I~hmY ARE INCOMPLETE
12IL~_,..~
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 anthorized 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 herehy agree that City Officials or a designee
thereof may enter upon the property t;1eln,tr: ~T'~ .e a " C? - )-5..2:1
SIGNATURE OF PR PI: UY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
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__.IL' Completed Application
_ Sealc Drawing showiug location of ~ign
~,Plans and Specs . -- OC)
X._ Permit Fee $ _tL.__ (Permit fee is set
at time of application according to approved schedulc)
Thi, APPlkalion{b?n'/J/,' l:, sz,n Permit :'hen approved.
By 1':'142 .t:'~-:::.<.
,/'; City Planner or designee
Date (1/J )/1 7 "._-,,-
This is to certify that the request in the above application and accompanying documcnts is in accordance with the City Sign Ordinance and may procecd as
requested. This document, when signcd by the City Planner or designce constitntes a temporary Certificate of Zoning compliance and allows construction to
commence.
Special Cooditions
$(e
9>.2:-_U ~ S7or;~ '~_~~-----r_m
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
(612) 447-4230, (612) 447-4245
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Received of ;"7 /,/' < ---,. 'J---.J
the sum of /"'---"":;'....,,:,/',Cz,..
for the purpose of
RECEIPT # 31421
DATE:
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<':-:;1 ,-Ie ~
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.~_..,~---:-------~-_._-~.~_._,_._----...._---~--......._---_..._-~--"._._-_.------ -------
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
dollars
,.n ( j ,
'" .P.....' ''''''.'. /1 / ",,, ", .?"-??
~ _.- / Ji/ I /<~<::.-,~/~~./"I~ /
v
$
('" , ;"j () :~~
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.-<'- -\ .-') , ;
/I~/)' J~v/7
-.Receipt ClerKfor the City 01 Prior Lake
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BUILDING PERMIT #
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