HomeMy WebLinkAboutSign Permit 15-33 - NMS Mechanical ' City of Prior Lake 20- 15
APPLICATION FOR SIGN PERMIT
Permit No. � �3
DIRECTIONS: One completed application per sign is required.Applicant is 1. PARCEL I.D.OF PROPERTY:
responsible for obtaining a building permit if necessary.
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2. APPLICANT: (NAME) (ADDRESS) (PHONE)
3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
5. TYPE OF SIGN: TEMPORARY(30 DA YMAXIMUMDISPLA 19 PERMANENT(WALLIMARQUEE/AWNING/FREESTANDING)
Balloon—Business—Changeable Copy Signs—Electronic Message—Illuminated Signs—Institutional Signs—Lake Service Signs—Multiple Residential
Nameplate Signs—On-Premise Directional Signs—Permanent Window Signs—Portable Signs—Subdivision Identification Signs
*Note if the sign structure is above 7 feet the international code warrants a building permit.
6. SIGN DIMENSIONS 10. Estimated Value of Sign
(square feet) (Height) (Width) (Depth)
44A-0-0 11. Completion Date
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7. TYPE OF&ONSTRUCTION
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 inspections. _�
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SIGNAT OF PROPERTY OWNER/OWNER REP DATE
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PR1NfED NAME UFTROPERTY OWNER
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
Completed Application
Scale Drawing showing location of sign
Plans and Specs C'Q
Permit Fee$ �(Permit fee is set
at time of application according to approved schedule) Ooh
This Application becomes your Sign Permit when approved. ��..
City Planner
ro-�r�designee
Date l,'
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
Hiandouts&permit apps\permit applications\2015\signs\sign permit application 2015.doc
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Parcel IL) 254181110
Property Address 2620 WATERFALL WAY NW Land $20,000 j
PRIOR LAKE MN 55372 Improvement $0
Taxpayer Name HOK MONIREAK Market Value $20,000
Taxpayer Address 11460 ROBINSON DR NAV Homestead Status N
COON RAPIDS MN 55433 Homestead Classification ^ 140 Res V Land
Taxing District PL CITYArchitectural Style
Township/City 25418 Year Built
School District ISD 4719 PRIOR LAKE Bedrooms i
GIS Acres 0.05162 Bathrooms
Deeded Acres 10.00 Garage Size(Sq Ft)
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Zoning Classification j ;Sale Date
Section 28 Township 115 Range 022
Legal Description SubdivisionName WENSMANN 4TH ADDN Sale Price
Lot 035 Block 004 SubdivisionCd 25418
Disclaimer.Map,and parcel data are believed tc,be accurate,but accuracy is not guaranteed_ This is not a legal Map Scale
document and should not be substituted fora title search,appraisal survey,or for zoning verification_ 1 inch=37 feet
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http://gis.co.scott.nm.us/scgis/rest/directories/arcgisoutput/_ags_3b269816.jpg 11/20/2015
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'(t( . City of Prior Lake RECEIPT
` ` 4646 Dakota Street SE
.` Prior Lake MN 55372
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U 952-447-9840
Receipt: 3465
Received Of: Date: 11/20/15
NMS Mechanical
17271 Kenyon Avenue Customer: NMS Mechanical
Lakeville MN 55044
Receipt Item Receipt Description GL Number Total
Sign Permit 15-32/15981 Jordan Ave SE
Sign Permit 35.00
Sign Permit 15-33/15981 Jordan Ave SE
Sign Permit 35.50
Receipt Total 70.50
TENDERED: Checks 6086 70.50
Total:70.50