HomeMy WebLinkAboutSign Permit 10-050 - Domino's wall~~~~
~' ' City of Prior Lake
'~^T APPLICATION FOR SIGN PERMIT
~~~ Permit No. ~"` °fc7 r'a
DIRECTIONS: One completed application per sign is requu'ed. Applicant is 1. PARCEL LD. OF PROPERTY:
responsible for obtaining a building permit if necessary. ~ ~~-(,~ ~ ~~ ~"~ ~%
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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TYPE OF SIGN: TEA/PORARI'(21 DAPAIAYIAIUAIDISPLAI~ PERMANENT ({f'ALL/ItIARQUEE/A{f'1VING/FREESTANDIII'G)
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Bapoon''` Brmeer*Business"C/tmrgeable Copy SignsxCanstrrrction Signs "Illuro7ur[rterl Signs''`Lrstitutionnl Signs"Lnke Service Signs
Atrrltiple Residential Nmneplate Signs*On-Premise Directional Srgus'''Pernranent {I'indox~ Sign "Portable Sign xSubdivrsion Identificatimr Sigrrs
6. SIGN DIMENSIONS 10. Estimated Value of Sign `J ~~~~ ~_~
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(square feet) (Height) (W
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7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLAY DATES (if applicable)
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, [rue 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 esisting state and local laws and will proceed in accordance
with submitted plans. I am aware that the Cit}~ Planner can revoke [his permit for just cause. Furthermore, I hereby agree that Cit}~ Officials or a designee
thereof may enter upon the property to erform needed inspections.
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S[GNATURE O PROPERTY O\~'NER/Oy3'NER RJE,P ! DATE
PRTNTED NAI`~tE OF PROPERTY OR'NER
FOR ADMIIr'ISTRATIVEUSF
SUBMISSION REQUIREMENTS
%~ Completed Application
,.h Scale Drawing showing location of sign
'( Plans and Specs
~K Pernmit Fee $ .'> .~ -"~ (Permit fee is set
at time of application according to approved schedule)
This Application becomes your Sign Permit when approved.
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G t}' Planner, r designee
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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
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requested. This document, when signed by the Cih~ Planner or designee constitutes conmpliance with the Sign Ordinance.
ial Conditions
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24 Hour Notice for All Inspections- 447-9310
j:~tornms~sign pemmit application.doc
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