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Home My WebLink AboutSign Permit 97-125 Ii City of Prior Lake APPLICATION FOR SIGN PERMIT White - Applicant Yellow - City ~ Permit No. q-}" I;).:) -1 DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued (please print or type, arW. sign where required _ 1. PARCEL NO. OF PROPERTY: gS"'~9{P-t)(:Jd -D 2.~ AP IC, ANT: (NAME) "",." (ADDRE~S) / ',J 7\ :In 1"Q JP/#04, ,(1,; IUC C~ {/ v/{ U'5GAJ ( :../)l;J. FOL!?Jt.../!.B..dJA'/"t::. r/?il. S"~H 3, OWNll":~ ~~ ~ (,wIlIU;SS) , ' 4. SITE ADDRE~OR LOCATlO~ OF SIGN~ I 'Jt:J(;) I ,15ft ,r: "P, 5, ~ , (PHONE) ?'// -CJ/~""/ (PHQNE)' tI (PHONE) 5. TYPE OF SIGN: TEMPORARY (21 DAYMAX/MUM DISPLAY) <fiRMANE~)vALUMARQUEE/AWN1NG/FREEST~NDINGf.. Balloon * Banner*Business*Changeable Copy Signs*Construction Signs*IUuminoted Signs*Institutional Signs*Lake Service Signs- Multiple Residential Nameplate Signs*O"..Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdillision Identification Signs 6. SIGN DIMENSIONS (square feet) (Heigh? ;J.).j 7 7. TYPE OF CONSTRUCTION ;;J- 5'/~ ~ (Width) :j7( wd /f\{& 'y:~ /v Jkt'J. 8. PROPOSED DISPLAY DATES (if applicable) '0 (Depth) !R If ~ SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE \ I hereby certify that I have furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the Ci can oke this pennit for just cause. Furthennore, I hereby agree that City Officials or a designee thereof may enter upon the property to perfo ns. /'L- #.M ~/9 '-7 SIGNATURE OF PROPERTY OWNER/AGENT DATE ' FOR ADMINISTRATIVE USE " SUBMISSION REQUIREMENTS ~mPleted Application ~ Drawing showing location of sign _ and Specs " ennit Fee $ 3c) (pennit fee is set at time of application according to approved schedu)e> ./""". ,. By Date 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 de~ignee constitutes a tempo$I'Y Certificate Of Zoning compliance and allows construction to ;=~_ J;.W' flJ &e ~JL /0' /7YIir/ ~JYn ~ ~, 24 Hour Notice for All Inspections 447-4230 from 9:00 a.m. - 10;00 a.m. ", " -' ' ,"",~' ,_,_,,_,__,~,""'_~_'."M'"'' . ~ -,~\ . ~-. _. :~- '. . ~ ~~~~~':;~:~'~T~ Ii;",,' .;'~:;br: ':7:~~'~-~r 170216798299 - - - 192.2'" $d;;j/~ ---- DOLLARS ~Ol" . t Bank .. ... ~ , Minn~apo.lls, Minnes. ota 55402 . ',:fl~i:~l--~ NP .- :;-'~~~~""""-=--~--- -....--...._~----..-----......--,........~~-;...--......-,~~......-.~--~:_-~--..;~----_...;.--"._..~-.......~~~~".--...;*,_._--.....~ 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 # 31903 DATE: 9-/rJ/ f 7 "-- dollars $ /./7 4 ou /'\ ~. / I ) d1- J/1~b~ '-1frleceipt Clerk for the City of Prior Lake 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 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 ~,-,'-'" (0' FEB-12-'00 SUN 01:39 ID: TEL NO: U044 P01 ~N o f". 2".. 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