HomeMy WebLinkAboutSign Permit 04-05
City of Prior Lake
APPLICATION FOR SIGN PE
Permit No.
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DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCEL I.D. OF PROPERTY:
2. APPLICANT: (NAME)
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3. OWNER: (NAME)
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4. SITE ADDRESS OR LOCATION OF SIGN
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(ADDRESS) \ \ 0
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(ADDRESS)
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(PHONE)
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(PHONE)
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(PHONE)
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5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY) 'ERMANENT. WALL/MARQUEE/AWNINGIFREESTANDING)
Balloon * Banner* Business *Changeable Copy Signs *Construction Signs *llluminate 19ns * Institutional Signs *Lake Service Signs *
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
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6. SIGN DIMENSIONS
(square feet)
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7. TYPE OF CONSTRUCTION
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10. Estimated Value of Sign
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(Heil!:ht)
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(Width)
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(Depth)
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11. Completion Date F./
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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 Ci anner ca oke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to p n ded in 'ons.
// i- - 2-r - {} 'I
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
_ Completed Application
_ Scale Drawing showing location of sign
Plans and Specs- cO
~ Permit Fee $ g'i - (Permit fee is set
at time of application according to approved schedule)
ity
Date 3 . .:} 7 o'i
It when~approv_ed.
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By
This is to certify that the request in the aoove 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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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
RECEIPT # 45773
DATE: 4-/(p716\.f
Received of PrO ~er--Y'1 ~
the sum of e;C~ ~~~ r-L7\~
for the purpose of
dollars
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~77~
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170+h Lb1-.
Invoice #
$ 44 CO-
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