HomeMy WebLinkAboutSign Permit 97-121 & 07-122 Temp
<P
pM
White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. q 7- (d- J
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(please print or type, and sign when~ required
1. PARCEL,NS?J 9.!SROPERTY:
.3 '3.... Cf-t-VUf..p -0
2. APPLICANT: (NAME) (ADDRESS)
(JI!JO(l U,/c:~ J/-JrE &/l/KiII
3. ~:~(~;l ;J~ m;:Sl
4. SITE ADDRESS OR LOCATION OF SIGN
1/ 13
5. TYP~~N: 'EMPORARY(21 DAYMAXIMUMDISPLAYj PERMANENT(WALUMARQUEE/AWNING/FREESTANDING)
Balloo Banner usiness* angeable Copy Signs* 0 ., Uuminated Signs*Institutional Signs*Lake Service Signs*
Multiple R:eiiilelltial Nameplate Signs*On-Premise.Directional Signs*Permaneilt Window Sign*Ponable Sign*Subdivision Identification Signs
(PHONE)
;..J17-r2/ (J J
(PHONE)
(PHONE)
6. SIGN DIMENSIONS
(square feet) (Height)
I~
7. TYPE
(Width)
(Depth)
10. EStimate~'oign
11. Completion Date
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 fur 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. 1 am aware that the City Planner can revoke is permit for just cause. Furthermore, 1 hereby agree that City Officials or a designee
thereof may enter upon the property to pe rm need d inspections.
'f)(fi). (p J /Cj97
DATE I
FOR ADMINiSTRATIVE USE
SUBMISSION REQillREMENTS
rA..I;......
cale Drawing Sh~ location of sign
-.JL.Ylans and Specs .
-LL Permit Fee $ (permit fee is set
at time of application according to approved schedule)
This Application be
~~ur
City Planner or designee
IU fit '11
By
Date
Special Conditions
().h
l;udbt-cr "SQ,t
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m. r'
" -. .._~...-;--'-
_____ _______.___..___._._... - _.--n. .__ ----~---.---.-.---- .------- ----------
f19 PRIOR LAKE STATE BANK
-
. ",' ;'"~. "'~.,,,.<,,.., ","<";_:;';"";';'-~"'" '.., ....: ,,;',,"','
eXPENSe.CHECK ~ .. .
75-905/919
..J~
11/6197
$ ......60.00
PAY TO THE
ORDER OF
City of prior lake
DOLLARS
5""'.....'.....................................................................
City of prior lake
MEMO
-...,-.---.-..... - ....,-------
- - _.- - - -.- -. - - - - -. --
-- .-. .- - - -. - .- .-
.-. - -' - _.- -- --- .- - - .- -- - -- .-' -
-.- --------_._--'-'~-~-
,I
-------------. .
. -,.d:'~~.,
...,.,.;...t.L.:. _____-~...i-
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
RECEIPT # 31441
DATE: ) U fa! C(7
dollars
-----
$
/ r,\ D v
-.() L,/
...-, !
-
! ./_,/~/F /'1,.- ..-
i / ./1 ! . / ;7'0/ ' ,
~ J"'/ I #' ~/ (.j t,~1../ "'--'"
___;/ Receipt Clerk for the City of Prior Lake
BUILDING PERMIT #
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb pmt pp#
Mech pmt mc#
Mech pmt mc#
Swrf\Ntr pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swrf\Ntr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
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 - $40.00)
Swrf\Ntr pmt sw #
Other
1,200.00
700.00
1 ,500.00
Total
~,
f ~te - Applicant
Yellow - City
City of Prior Lake
APPLICATI'ON FOR SIGN PERMIT
Permit No. qr ( ;;t a
~
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(please print or type, and sign wherfil required
1. PARCEL NO. OF PROPERTY:
3 "3-l9~/-D)(p-n
(PHONE)
2. APPL}f}ANT: (NAME) (ADDRESS)
.f/J?/O fL {f)1IE .:5r1Vn;: /3I1N J:~,/
3. o~ :iWEi: W;:~
4. SITE ADDRE S OR LOCATION OF SIGN
'(PHONE)
(PHONE)
5. TYPE OF SIGN. 'EMPORARY(21DAYMAXIMUMDISPLAY) 'ERMANENT (WALUMARQUEE/A WNINGIFREESTANDING)
Balloo~usiness" angea e opy tgns ons u on rgns uminated Signs"Institutional Signs"Lake Service Signs"
Multipl . tial Nameplate Signs"On-Premise Directional Signs"Permanent WindOw Sign"Portable Sign "Subdivision Identification Signs
6. SIGN DIMENSIONS
( square feet)
7
(Height)
3'
CONS~RUCTION
(Width)
I
(Depth)
10. E$tim OZJign
11. Completion Date
, 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 tho permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perfo nee ed' spe~tions.
FQJCi\DMINISTRATlVE USE
1/-b-97
DATE
"~;..
SUBMISSION REQUIREMENTS
/ Completed Application
~cale Drawing showing location of sign
~ and Specs _OQ
ermit Fee $ 1"\ V'" (permit fee is set
at time of applicatio~ to approved schedule)
By
~
Date
This is to c~riify 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
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
-/
./
,I
,
"1/
,
;,.\'00
\()~ &J"~
Hl0~ . \~
-
\ SOl
SIC1,\l .{. 50'
~. Rd. 4-d.-
__1
Ib PRIOR LAKE STATE BANK
.. j-
". ../
,
.}~..~"= -""
PAY TO THE
ORDER OF
City of prior lake
s'"''""oonoo..........................................---~.....--...............
City of prior lake
______ -7"::"- -- -...-......---~ --
. .~.~J:>.--...__.J., ',,~....___ .~....",~-':'-~.--..
_.---.~._..~._.
---..-..----'--
-.-. .---------------- .. - - --_.-
._" ------..-....--.---". -----.------------
~,; _ _._..'......:'..;....,.'".'"""._...,__'>~_.;c..
__r.._..~..........."'~-"..,_:~."'.""".,-_.:.......,..."''' ,,- .
.-. '-exPENSE~CHECl<.'""'"
. 75-9051919
...~.~.~.........~
11l6i97
$ ....60.00
DOLLARS
JWi-LL' cJJ flY/; /V
MEMO
'11 i 1
._--,....,:"'".. "
. .. - .~~- - -- -~~~= -- -.:...~: - - - - --
- - - - - - - - -- - - - - - - - -.-" - - .-
~~I1.
,_. - - - - - - - - - - - -- - ...- -
/
. _------.-.u
-~._;;
....;_.....~- --- -~ .;,..
CITY OF PRIOR LAKE
RECEIPT # 31441
DATE: I!} (IJ! t!7
dollars
$
" /'\ 0 I )
\//)~) -
" 1...1
.-,
.~
-:
j / ../~
,./"'h. '.f;.-!~ t
. ./ ,.'; : ,.~. ! ,/ .', V C /
r,."- J I ,,/ \,/ '-~ '---"'
-J.' Receipt Clerk for the City of Prior Lake
BUILDING PERMIT #
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)
SwriWtr Pmt sw #=
Other
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb pmt pp#
Meeh pmt me#:
Meeh pmt me#
SwriWtr pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwriWtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
1,200.00
700.00
1,500.00
Total