HomeMy WebLinkAboutSign Permit 09-023 - Windsong AssocCity of Prior Lake
SIGN PERMIT APPLICATION
Permit No. 5r " 61-2 '
DIRECTIONS: One completed application is required PER SIGN.
I. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
2. S ADDRESS: , r C1 � 3. ZONING:
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4. APPLICANT: (NAME) (ADDRESS) (PHONE)
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5. OWNER: (NAME (ADD SS) (PHONE)
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6. TYPE OF SIGN - /(Please circle)
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign off- Premise Directional Sign Portable Sign
Streamers and Pennants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: _ /_/ To:
b. PERMANENT: Awning Sign Lake Service Sign Marquee S' i Preestandin Sign Menu Board Sign
On- Premise Directional Sign Permanent Window Sign Ja division Identification Sig Wall Sign
7. SIGN DIMENSIONS:
8. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
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9. PERCENT OF WALL COVERED BY SIGNAGE:
7 p !
10. TYPE OF CONSTRUCTION/MATERIALS:
11. ESTIMATED VALUE OF SIGN:
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12. COMPLETION DATE:
A �� sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
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 wilfproceed 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 in spections. [ Z
`�rN OF PROPERTY OWNERIAGENT DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: .2� Cib
Permit Fee $ J (Note: Permit fee is set at time of application according to approved schedule.)
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CITY PLANNER OR DESIGNEE DATfi
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 Planner or designee constitutes compliance with the Sign Ordinance.
City
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Special Conditions:
QI'I�ii /d' - i'awt
- -T 24 Hour Notice for All Inspections
4474230 from 9:00 a.m. - 10:00 a.m.
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This drai ag IS nether a legally recorded map nora urvey and is not Map Scale N blended to be used as one" This dl'awing is a compilation of records.
'firm.fon. and data located in various dty manly, and state offices . and 1 inch = 156 feet
other sources affecting the brad shown, and is to be used for reference W E l
,unposed only. Scott County is not responsible for any inacouraarid herein Ma safe
contained_ If discrepancies are found, please dented the Scott County p �
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