HomeMy WebLinkAbout96-054 Sign Permit - Framed in Glory
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. t1 b - 051
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:
2. APPLICANT: (NAME) (ADDRESS)
r::l"amed ',YI Glori- /roz3/; (VIa:/! ALle 'SE
3. OWNER: (NAME) .. (ADDRESS)
/.a rl}d A-AJptSiJr1 . /f.a 2 ~ ~ /YI4; /I ~ ~ t:
4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
'-//7 - 50o/'s-
(PHONE)
1(17 -s,-o r.s-
(PHONE)
/foz'8'
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLAy) PERMANENT(WALl/MARQUE IN VFREESTANDING)
Balloo" * Banner * Business *Chil!leab~ Silns*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate , ns"" - remise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
iY/4' ; /l
u.e....,
6. SIG~ DIMENSIONS
r(square feet) (Height)
47 Ig"
7. TYPE OF CONSTRUCTION
(Width)
, g.++
(Depth)
10, Estimated Value of Sign
11 J /0
11. Completion Date /
& 0 7'P
F/()~ 1/;",,,1 Leifers - G~(d tJl1
8. PROPOSED DISPLAY DATES (if applicable)
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C;/~"-I1
SIGN PERMITS WILL NOT BE PROCESSED IF THEY.ARE INCOMPLETE
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' st cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon theprope~inspections. (,,11'1 / '1 /:;
SIGNA F PR DA tE .
i
t \~
C_.._. --__::,:..
hen approved.
FOR ADMINISTRATIVE USE
Date
This is to certifY that the request in the above application and accompanying ocuments 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.
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RECEIPT
CITY 0 F
PRIOR LAKE
4629 DAKOTA STREET S.E., PRIOR LAKE. MN 55372
No 2 7 6 8 LJ
DATE-fftUlL{}-tf( ~ ("
Received of 1U#\1d ~'h~ / ,~ ~tvWv1
whose address and/or legal description is
the sum of
dollars
$ J.o. dO
Reference Invoice No.
r
J ,VLIlIlr{(
Receipt Clerk
Lake
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