HomeMy WebLinkAboutSign Permit 10-062 - O'Reilly Auto wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. S 1 1 6 Z
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
C^ u L ? J G
J 1 (PHONE) J
2. APPLICANT: (NAME) (ADDRESS)
pannnlnd 5 Inc, 400 Q J' nmAA , 4 N Mpl-, La1;k - 7(01P3y0
3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDReSS OR LOCATION OF SIGN (PHONE)
qC(5' I &h Aaoo
5. TYPE OF SIGN TEMPORARY (21 DAYM4MMVMDISPLA19 PERMANE ( WALUAL4RQUEE IAWNINGIFREESTANDING)
Balloon *Business *Changeable Copy Signs*Construction Signs*Electronic Message atedSigns *Institutional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs *On- Premise Directional Signs *Permanent Window Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS W W
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
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11. Completion Date
1 CA it (p t
"
1 " $a as
1 a IL
7. TYPE OF CONSTRUCTION
8. PROPOSED DISPLA ATES (if applicable)
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have f imished 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 th ro erty to perform needed inspections.
/ —i(,2 -- /v
SIGNATURE OF PROPERTY OWNERIOWNER REP DATE
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
REQUIREMENTS
/ S ' UBMISSION
Completed Application
V V Scale Drawing showing location of sign
Specs
p tans and
ermit Fee $ S l (Permit fee is set
at time of application according to approved schedule)
This Application becomes you Sign Permit when approved.
By
Planner designee
\City or
Date ,2_12_)Ild
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 compliance with the Sign Ordinance.
i D
Special Conditions
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24 Hour Notice for All Inspections - 447 -9810
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