HomeMy WebLinkAboutSign Permit 01-002
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White - Applicant
Yellow - City
or
City of Prior Lake
APPLICATION FOR SIGN PERMIT
PermitNo.lOl ~~7-
DIRECTIONS: Spaces numbered I thru 10 must be filled in before permit is issued 1, PARCEL NO, OF PROPERTY:
(please print or type, and sign where required
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2, APPLICANT: (NAME)
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3. OWNER: (NAME)
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4, SITE ADDRESS OR LOCATION OF SIGN
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5. TYPE OF SIGN: TEMPORARY (21 DA Y MAXIMUM DISPLAl? PERMANENT{WALLlMARQUEE/A WNINdlFiiEEiTANDING) ~
Balloon * Banner* Business*Changeable Copy Signs*Construction Signs*Illuminated Signs*Institutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Per11lll1lent Wmdow Sign*Portable Sign*Subdivision Identification Signs
(ADDRESS)
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(ADDRESS)
(PHONE) .. 12. -
""pls NN $ ~or ~2..3',l..q
.J /... . (PHONE)
Sr U. , S
PA~'"
(PHONE)
6. SIGN DIMENSIONS
(square feet) (Height)
" L ' LL 1/.,. 'I
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7, TYPE OF CONSTRUCTION
'~e+A. ~-e €Xl'S+ii\
8, PROPOSED DISPLAY DATES (ifapp icable)
(Width)
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(Depth)
10, Estimated Value of Sign * 2 , cr b () U 0
11. Completion Date
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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 ~d correct. I also certify that I 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. I am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
>h=or=y ~'" "P'" >h, prop<a~~"""LD 4ht.- ~ 2.-10 0 I
S ATURE OF PROPERTY OWNER/AGENT DA l
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~ompleted Application
-==.ScaIeDrawingshowinglocationofsign ~e..~ ~~~ ~_.
~ans and spe.:3 , ~
~Permit Fee $ t..f-'D (permit fee is set
at time of application according to approved schedule)
ign Permit when approved,
By
Date
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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. A ^ A.
sP~;.c,"d1tlo"'--I"tf-,rI~ ~ rJ.r ~ ~ tk~~'f S;~.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. . 10:00 a.m.
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ELEVATION: REFACE DfF ILLUM. PYLON 51GN (MN-2)
5CALE: 112" = 1'.0"
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H.I,A, FACES (FLAT) WI VINYL BACKGROUND
(CUSTOM 3M COLOR-TO MATCH COLORMAP
PG. 175-F6 VIOLET) & BLACK. GRAPHICS TO
ILLUM. WHITE TO FIT IN EXISTING CAB.
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-BACKGROUND BLACK WI WHITE ILLUM, COPY
BACKGROUND EUCALYPTUS VINYL 220-296
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: .PARK DENTAL PRIOR LAKE TO BE THE SAME !
I LAYOUT AND COLOR OF PRIOR SIGNAGE :
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97-284-XS
284.1