HomeMy WebLinkAboutSign Permit 10-063 - O'Reilly Auto wallCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ls l I o - 6 s
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
Zs. 9 oz.
2. APPLICANT: (NAME) (ADDRESS) (PHONE)
fSia Inc. 1400Q�,,c ,, NE Mpt5 r ., Ia- '740(p - S W0
3. OWNER: (NAME) (ADDRESS) (PHONE)
OR-"u Au6pkr -% ZZ-3 -erSri lPi g4, - a --11. - 7 u
4. SITE ADD S OR LOCATION OF SIGN (PHONE)
p
q 5 [ s" / ("o -5 a�
5. TYPE OF SIGN TEMPORARY(21DAYMAXIMUMDISPLAI) PERMANE (WALLIMARQUEE /FREESTANDING)
Bal loon *Business *Changeable Copy Signs* ConstmcdonSigns *EketronicMessage ratedSigru *lnsdtadonalSigns *Lake Service Signs*
Muldple Residential Narneplate Signs *On Premise Directional Signs *Permanent endow Sign *Portable Sign *Subdivision ldendfZc on Signs
6. SIGN DIMENSIONS c W
10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
C0 - °O
11. Completion Date
16 1 " ��l r l �!; .l I ►r _
" •as
l
7. TYPE OF CONSTRUCTION
1 w6 l s,
V V)
8. PROPOSED DISPI 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, 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 local laws
state and 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 ro erty to perform needed inspections.
—/(, —10
SIGNATURE OF PROPERTY OWNER/OWNER REP DATE
PRINTED NAME OF PROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
�cale Drawing showing location ofsign
lans and Specs
Fee $ 6 0 - S0 (Permit fee is set
at time of application according to approved schedule)
This Application b your Sign Permit when approved.
`j omes .
By
ity Planner or designee
Date
[his 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
equested. This document, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
�}f
ipecial Conditions C P �
A
� OU 2010
24 Hour Notice for All Inspections- 447 -9810
.17
:\handouts\sign permit application 2010.doc
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