HomeMy WebLinkAboutSign Permit 07-032 - D. Copperfield wallCity of Prior Lake
SIGN PERMIT APPLICATION
Permit No. ST 2 .
DIRECTIONS: One completed application is required PI R SIGN.
I. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
2. SITE ADDRESS:
sp l� ,,,.. 3. ZONING:
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4. APPLICANT: (NAME) (ADDRESS) (PHONE)
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5. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPEOFSIGN: (Pleasecirele) e\VrC_ C)ex�
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: _I —/— To: _I_ /—
/ PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Ak — oard Sign
L/ On- Prendse Directional Sign Permanent Window Sign Subdivision Identification Sign all Sign
7. SIGN DIMENSIONS:
8. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
9. PERCENT OF WALL COVERED BY SIGNAGE:
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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 wilt procced in accordance
with submitted plans. I am aware that the City Planner can- revRke this permit forjust cause. Furthermore, l hereby agree that City Officials or a designee
thereof may enter upon the property to perform needed inspections
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SIGNATURE OF PROPERTY OWNER/AGENT DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY:
Permit Fee S 3 s.7 (Note: Permit fee is set at time of application according to approved schedule.)
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CITY PLANNER OR DESIGNEE DATE
This is to certify that the request in the above application and accompanying documents is in accordance with the City Sign Ordimmn - and may proceed as
requested. This document, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
Special Conditions:
24 Hour Notice for All Inspections
4474230 from 9:00 a.m.. 10:00 a.m.
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D. Co Jeweler
5116 Gateway Street #104
Prior Lake, MN 55372
Phone: 952440 -4367
Fax: 952 - 440 -4369
Highway 21 View
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Copp erfield Jeweler _
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