HomeMy WebLinkAboutSign Permit 97-111 - Lemke Chiropractor
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Wbite:: . Applicant
Ye::lIow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 97-/ II
2. APPLICANT: (NAME) J
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4. SITE ADDRESS OR LOCATION OF SIGN
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5. TYPEOFSIGN: TEMPORARY(21 fAYMAXlMUMDISPLAy) 'ERMANEN ~QUEElAWNING/FREESTANIJING)
Balloon * Banne'S:fifZ;.Changeable Copy Signs*Construction Signs*Illumm 'Ilns*I~nal Signs*Lake Service Signs* .. ...... ,
Multiple Residentia plate Signs*On-Premise Directional$igns*Permanent Window Sign*Portable Sign*Subdivision ldentification Signs
1. PARCEI..NO. OF PROPERTY:
Ci S -93 (; -Qld-j .
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(ADDRESS).5//~ 6q '~~Jr..J:6 . (PHONE)
/f/;p/..a/r1L IH.,. 5'>37;)- ft,/~ ~~y&-,13;-->
(ADDRESS) II . (PHONE)
.. (6/:;")~Y~-,;1~>S-
(PHONE)
DIRECTIONS: Spaces nt1ll1bered 1 thru 10 must be tilled in before permit is issued
(please print or type, and sign when~ reqQired
6. SIGN DIMENSIONS
(square feet)
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7. TYPE OF CONSTRUCTION
tvood I-&Ci>>
8. PROPOSED DISPLAY DATES (if applicable)
(Height)
(Width)
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3.
(Depth)
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1.. O. Estimated Value of S};n ~
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11. Completion Date
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SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
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DATE
FOR ~MINISTRA TIVE USE
SUBMISSION REQUJ.Rl3MENTS
\ LpletedAPplication
~~~ Drawing showing location of sign
~and SPC::~ oJ
e::nnit Fc::e $ . /) (pe::nnit fee:: is se::t
at time:: of application according to approve::d sche::dule::)
This Application
By
C;i "~!9~Signe::e::
I
This is to certify that the reque::st in the above:: application and accompanying documc::nts is in accordance:: with the City Sign Ordinance:: and may proce::ed as
requested. This document, when signed by the City Planner or designee constitutes a temporary Certificate of Zoning compliance:: and allows construction to
commence.
Date
Spe::cial Conditions O() fRA 41 q l-D/9
24 Hour Notice:: fur All Inspections
447-4230 from 9:00 a.m. . 10:00 a.m.
Received of
the sum of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 31439
DATE: 11/ if / 77
dollars
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t;/Receipt Clerk for 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)
Swr/Wtr Pmt sw #
Other
Total
BUILDING PERMIT #
1,200.00
700.00
1,500.00
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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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LEMKE PROFESSIONAL BUILDING I Ii -Ejtj
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)> PRIOR LAkE, MINNESOTA g I' ~~
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EXTERIOR aEVAllONS/ BULDING 8ECT1ON8 ,~ l?=j
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