HomeMy WebLinkAboutSign Permit 98-049
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White. Applicant
Yellow. City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No.qg -LY/i
,
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:
6( 'S -9'007. -()t.Je). -0
,
.!
..
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2, APPLICANT: (NAME) (ADDRESS)
NordF"s+ Si970 U. 312 w LCLkeSf
3. OWNER: (NAME) - (ADDRESS)
/-IeCL If!, 51,IS+etv/S / Peu- k-- N/co/le f
4. SITE ADDRESS OR LOCATION OF SIGN
J" 7 0 5 f"rcr. n Ie Iii'..} 7f-Cl.-(' I
5. TYPE OF SIGN: TEMPORARY (21 DA Y MAXIMUM DISPLA Y,) 'PERMANENT (WALVMARQUEE/A WNING/FREESTANDING)
Balloon. Banner.Business. langea e opy 19n ons ructLOn Igns.llluminated Signs.lnstitutional Signs.Lake Service Signs.
Multiple Residential Nameplate Signs.On-Premise Directional Signs.Permanent Window Sign.Portable Sign "Subdivision Identification Signs
(PHONE)
~d.3-72.91
(PHONE)
(PHONE)
6. SIGN DIMENSIONS
(square feet) (Height)
10. Estimated Value of Sign
(Width)
(Depth)
11. Completion Date
I hereby certify that [ have furnished information on this application which is, to the best of my knowledge, true and correct. [also certify that [ am the owner
or authorized agent for the above-mentioned property, and that all construction wiII conform to all existing state and local laws and wiII proceed in accordance
with submitted plans. [am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perf~;e,e~ed :nspectio~. /J. 1/
ll~ ~ tf-3-9B
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SU~SSION REQUIREMENTS
~mPleted Application
ale Drawing showing location of sign
~sandSpecs ~OO
. ermit Fee $ ), (Permit fee is set
at time of application according to approved schedule)
By
This Application b
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 designee constitutes a temporary Certificate of Zoning compliance and allows construction to
commence.
Special Conditions
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In
24 Hour Notice for All Inspections ../!7"A.. - /J..-.If. r+1.. " A
447-4230 trom 9:00 a.m." 10:00 a.m. OU~ (,V/I_I:./ \l'e/L
CITY OF PRIOR LAKE
RECEIPT # 32422
DATE:~
-'1
-------
dollars
BUILDING PERMIT #
$
/ ::;ou
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)
SwrlWtr Pmt sw #
Other
1,200.00
700.00
1,500.00
Total
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
SwrlWtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrlWtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
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HEAL TH5Y5TEM5 Revisions
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PRIOR LAKE GF Customer Approval
State Date Date
9/25/97
NORDQUIST
COMPANY
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312 WEST LAKE STREET
MINNEAPOLIS, MN 55(.08
6128237291
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This drawing is the property of
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HEAL TH5Y5TEM5 Revisions
I\)~ . NOTED
Q>I\) Address Drawn By
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mt 55
>< City Salesperson
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PRIOR LAKE GF Customer Approval Date
State Date
9/25/97
NORDQUIST
COMPANY
SIC N
I N C ,
312 WEST LAKE STREEl
MINNEAPOLIS. MN 55408
6128237291
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