HomeMy WebLinkAboutSign Permit 07-033 - D. Copperfield wallCity of Prior Lake
SIGN PERMIT APPLICATION
( FP ) e=tNo. S1-oi - 3 3
DIRECTIONS: One completed application is required PER SIGN.
1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
2. SITE ADDRESS:
, t + ( t � 3. ZONING:
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4. APPLICANT: (NAME) I (ADDRESS) (PHONE)
S7 �DPi'�2FIFL I� 3CLC1iCiFe S'11& GATeLc7AV 5T -tWC -0&'� Q
S. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle) t" 1kv a, ce-\\
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off- Premise Directional Sign Portable Sign
StreamersandPeunants Street Banner Temporary Sign
PROPOSED DISPLAY DATES: From: _l_I_ To:
/ b./ PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Ay oard Sign
L- On- Premise Directiatml Sign Permanent Window Sign Subdivision Identification Sign aliSign
7. SIGN DIMENSIONS:
8. TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth) I
PERCENT OF WALL COVERED BY SIGNAGE:
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I CO I NSTRUCTI I O J N/MATERIAL I
10. TYPE OF S:
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 1 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. 1 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 pe rform needed inspections
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SIGNATURE OF PROPERTY OWNER/AGENT DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY: CO
Permit Fee $ .30. (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 Ordinance 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
447 -4230 from 9:00 a.m. - 10:00 a.m.
39.
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D. Co Jeweler
5116 Gateway Street #104
Prior Lake, MN 55372
Phone: 952 - 440 -4367
Fax: 952 - 440 -4369
Main Avenue View
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D Co Jeiveler
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