HomeMy WebLinkAboutSign Permit 13-23 City of Prior Lake APPROVED
APPLICATION FOR SIGN PERMIT
Permit No. 1$-23
DIRECTIONS: One completed application per sign is required. Applicant is 1. PARCEL I.D. OF PROPERTY:
responsible for obtaining a building permit if necessary.
825 LOA W�
2. APPLICANT: (NAME) (ADDRESS) (PHONE) -2 - •9' .1 Y{O
BIZ 4-t 12:v 2 , o9 (v0 U N tc C. C+ ( LcUauais 6 5 6 4-4
3. OWNER: (NAME) (ADDRESS) (PHONE)
4. SITE ADDRES' OR LOCATION c F SIGN _ (PHONE)
3 ; S
5. TYPE O1' SIUN: TEMPORARY (21 DAYMOVCIMUM DISPLAI) PERMANENT (WALL/MARQUEE/AWNING/FREESTANDING)
Balloon* Banner *Business *Changeable Copy Signs *Constnuction Signs *Illuminated Signs *Institutional Signs *Lake Service Signs*
Multiple Residential Nameplate Signs *On- Premise Directional Signs *Permanent Window Sign *Portable Sign *Subdivision Identification Signs
6. SIGN DIMENSIONS 10. Estimated Value of Sign �()�
(square feet) (Height) (Width) (Depth)
t I / � 11. Completion Date ri -i 1_ 1 1
7. TYPE OF CONSTRUCTION I I X n l
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8. PROPOSED DISPLAY 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 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 the property to perform needed ins. = tions.
S s , ATURE OF PR' PER • tea AGENT BATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs
Permit Fee $ (Permit fee is set
at time of application according to approved schedule)
This Application becomes : , n Permit when approved.
By
City Planne or desi:
Date I 1 __
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.
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