HomeMy WebLinkAboutTemp Vegas Sign Permit 97-096
r ~ite - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. q 7-f)Qe,
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
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2. APPLICANT: (NAME)
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3. OWNER:
(ADDRESS)
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(NAME) (ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
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5. TYPE OF SIGN: 'EMPORARY(21 DA M DISP PERMANENT(WALVMARQUEE/AWNING/FREESTANDING)
Ba/loo<B;m'!ibBusin~?s~C1iiingeable Copy Signs* onstruc IOn Igns*I/luminated Signs*Institutional Signs*Lake Service Signs *
Multiple Iresiilential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
(PHONE)
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(PHONE)
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(PHONE)
6. SIGN DIMENSIONS
(square feet) (Height)
d~r.
7. TYPE OF CONSTRUCTION
(Width)
nFT.
(Depth)
10. Estimate lu .ofSign
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11. Completion Date
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8. PROPOSED DlSPL
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 peTti needed inspections. I
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OF PROPERTY OWNER/AGENT
9-d5--97
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~mPleted Application
_ Scale Drawing showing location of sign
-L1'lans and Specs,,,,. 0
_ Permit Fee $ ~ (permit fee is set
at time of application according to approved schedule)
Date
City Planner or designee
1/jY'/q7
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
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 31421
DATE:
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for the purpose of
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~-.Receipt ClerRlor the City 01 Prior Lake
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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