HomeMy WebLinkAboutSign Permit 97-097 Temp
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City of Prior Lake
APPLICATION FOR SIGN PERMIT
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White - Applicant
Yellow - City
Permit No~11- tJ1_tf
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:
-3~::J-9 '-/ -() 0& ~(j_
2. APPLICANT: (f'IAME) (ADDRESS) (PHONE)
-1!ILL{)1L~il]Kf~:jr ALj:_f3B1J/L~~________d~___ _____ cttJ 7 ~ ~;LiJ)i__
3. OWNER: (NAME) (ADDRESS) (PHONE) ,',/
__m_l3BJJ;:__ -_lia L1JJJ;:~:2.________ ,--------------______________!I!L=L,~(-) / Q _L____
4. SITE ADDHESS OR LOCATION OF SIGN (PHONE)
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Balloon(7Iriiifiej;:!tHusiness*Changeable Copy Signs *Construction Signs *Illuminated Sig/lS" l/lSti(utional.<;igns * take Serl'ice Signs *
Multiple ltesrrr;:;,tial Nameplate S;gm*On-Premise Directional Signs*Perml/nent Window Sign*Portable Sign*Subdil';s;ollldentijicl/tion Signs
6. SIGN DIMENSIONS
(square feet)
(I-Ieight)
(Width)
(Depth)
10. E.tim:llcd V~c of Sign
______ ___ _ __ _ _ 2i.J..________ ____
1!. Completion Date
_L~ r:T_____d. FI ___lQr:/___________________________ __.__,,____
7. TYPE OF CONSTRUCTION
8. P.ROPJ(~te,~.\~1~'!'.ES(if.~...P licable) --. /\....'.5
...:;;e.;:;J. .~ - /.:... ore c:J/ ~/1 \I c
----~ SIGN PERMITS WILL NOT BE PROCESSEbu?n-IEY ARE-INCOMI'-LETE -----
I herehy certify that I have furnished inflJrmation <In this application which is, to the best of my knowledgc. [me and correcL I also certify that I am the owner
or authorized agent for the above-mentioned prop,'rty, and that all construction will conform to all existing statc and local laws and will procccd in accordance
with submittcd plans, I am aware that the City Planner can rcvoke this permit fin just cause, Fmthcrmorc, I hercby agree that City Officials or a designee
thereof may enter upon the property to pcrfi I'm nccded inspections,
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DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_~mp'eted Application
~ Scale Drawing showing location of sign
~.. Plans and Specs Ic:~,-r-
__ Permit Fee $ ___L_..2____ (Permit fee is set
at time of application according to approved schedule)
This Application b~/SC. 61~. es \11' Sj'.n Permit when approved.
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Date -------::Jj.tZ...J-f-:./---L-----
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,
[f1~[(f dt/}f\0-----~--5---;-og['I_(J?f.tL-ItJ~~
Special Conditions ___?77I
24 110m Notice for All Inspections
447-4230 frOll1l) 00 a.m. - 10:00 a.m
it
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Received of
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the sum of
for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 31421
DATE.':::;; '\~!c;---;
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.- /Receipt ClerRTor the City of Prior Lake
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)
SwrMltr 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#
SwrMltr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrMltr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total