HomeMy WebLinkAboutSign Permit 98-086
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White - Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. 16 -0 'i$ (p
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:
Z. 5 - q 0 z. - D 'f-2- - 0
2, APPLICANT: (NAME) (ADDRESS)
NordCkUS+ SlqrJ Co
3, OWNER: lJ(NAME) J (ADDRESS)
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4. SITE ADDRESS OR LOCATION OF SIGN
(PHONE)
3/2.- LU. Lo..J e Sf - g/)'3-729/
(PHONE)
far/c- Jllco//ef
,
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it
,
(PHONE)
/ ~705 ran k/,'n (Y-CLt' (
5. TYPE OF SIGN: TEMPORARY (21 DAYMAXIMUMDISPLA PERMANENT (WALUMARQUEE/A WNING/FREESTANDING)
Balloon * Banner * Business W angeable Copy Signs*Construction Signs* Illuminated Signs * Institutional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs *On-Premise Directional Signs * Permanent Window Sign * Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
10. Estimated Value of Sign
(Width)
(Depth)
11. Completion Date
7. TYPE OF CONSTRUCTION
rOS T E- Pa-n e f <; r' q 10
8, PROPOSED DISPLAY DATES (if applicable) ,J I
/P-Z7- Cf 8 ~ '//7 Cf 6
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 just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perform needed inspections.
~~~
SIGNATURE OF PROPERTY OWNER/AGENT
{p/2~/o,8
DATE
FOR ADMINISTRATIVE USE
5t1 18-07'1
SUBMISSION REQUIREMENTS
~omPleted Application
< Scale Drawing showing location of sign
Plans and Specs
--Z'Permit Fee $ 15.00 (Permit fee is set
at time of application according to approved schedule)
Permit when approved.
By
Date 7,- / 7-18
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 C0mpliance and allows construction to
commence.
S,f #cj8 V7'/
7.-i/~18
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
~in /Y)~ tre-
Special Conditions
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. NORDQUIST SIGN COMPANY, INC,
PERMIT ACCOUNT
312 W, LAKE ST.
MINNEAPOLIS. MN 55408
6573
DATE
ta - 23-'18
$ /5. o~
17-114/910
PAY L"~ of- Pr'IO(" L a...le
1 TO THE
ORDER OF
~'l _Fi+~een Ovt\d 1"\0 Jrco XKX
.'
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I FRANKLIN NATIONAL BANK
2100 _ Av. S. . MiDncapolis, MN SS404 . (612) 874-6000
, 13605 27th Av. N. . Plymouth, MN 55441 . (612)SSO-OSOO
I FOR_Po.rk.. N',c:.o lle...t- - \~10~ Fru,kli", Tr~1
/1.00 b 5 ? ~ /I. 1:011 ~oo ~ ~~~I: 2 2 ;I... 2 ~ 5 11 II.
DOLLARS 1!1=.-=
M"
CITY OF PRIOR LAKE
RECEIPT # 32470
DATE: 7-/7-9~
0.
- ~ dollars
$
/5cJO
~
eceipt 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