HomeMy WebLinkAboutMetro Air Sign Permit 09-077
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el~ Applicant
Yellow - City
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. CjJ:_Qll
DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
l. PA~CEL NO. ~F PROPERTY:
~:) 5 --~D ) -OJ )-()
2. APPLICANT: (NAME) I (0'1 '-/0
(Y\ e+f' 0 A " r- 1--6-~O W e I c. \) Y'" (>
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3. OWNER: (NAME) (ADDRESS)
D O-V ~~ S'c_ h ~-el <
. ._-~-----~._. ---~.---_._---_._--_._---~-----~-,_._~._._._._-_._-_..-~------_._---- .----.----.----.-.--.-------
4. SITE ADDRESS OR LOCATION OF SIGN
W.tl C\)Me.
(PHONE)
S C oii
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A ~~_~S~~_:l'{l:$/)_r
(PHONE)
4'1?-f?/d.'(
(PHONE)
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Ave
S,E
. '-It..{ 7 - 8 I ~ 'f
5. TYPE OF SIGN: TEMPORARY(21 DAYMAXIMUM DISPLAl _. 'PERMANENT WALUMARQUEEIAWNINGIFREESTANDINGj
Balloon * lImmer* Business *Changeable Copy Signs *Construction Sign * 11I/wuna nstitutional Signs*Lake Service Signs *
Multiple Residential Nameplate Signs*On-Premise Directiona! Sigll.~*Permanen v /gn*Portable Sign *Subdivision/deMification Signs
6. SIGN DIMENSIONS 10. Estimated valuefSju1
(square feet) "\. (Height) 1S:Width) ~(DePth)~~_----=__b_'..s-OO
ltOrp~, ,,7' /IAoS' hr-,-c.k '8' /)'1,").1.(' 11. C01:i,?Datc (?'t'7
7~~YPE 01<- CONSTRUCTI6N------- . ... ..~--- .----------- -----------------------------------
(1 r ,- c k ~ 0 vl ~J 0.. + ,. 0 tV 4 ,S' ~ pfJ 0 ,,+
8. PROPOSED DISPLAY DATES (if applicable) - / I
----~-------p~ilrf p~R~A;;,t WILL NOT HE PROCESSED IF THEY ARE INCOMPLlUE ------------ ----
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I herehy certify that I have furnished information on this application which is, to the hest of my knowledge, tlUe and correct. I also certify that I am the Owner
or authorized agcnt for the ahove-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submittcd plans. I am aware that the City Planner can revoke this permit for just cause. Furtbermore, I hereby agree that City Officials or a designee
U"""rm,y "'''''PP'''' ,", pmp"'y '''~d i~:crr;:;l.Q..1~._ _. J;-I J ~_'J 'Z
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINI<;TRATIVE USE
~UB ISSION REQUIREMENTS
> mpleted Application
, calc [)ra~ing showing location of sign
~Ians and Specs
Permit Fee $ 3!:J"a.2 (Permit fee is set .
at time of application according to approved schedule)
This APPlicationL.~~.." om" y:,,, St Perm;! whcn .pprovcd.
By .lIiL1Li--=..cf 1/r.:v-J
~-. City Planner or designee
Date "---h~_ C17
This is to certify that the rcquest in the abovc application and accompanying documcnts is in accordance with the City Sign Ordinance and may proceed as
requested. This docllment, when signed by the City Planner or designee constitutes a temporaty Certificate of Zoning compliance and allows construction to
commence.
Special COnditions__JIl~..:k.L1J2.~--j'h{.{X ~\L.U~h_t--4__ci<.D~ov'( _ CmkJ.il~-6- C_ {7, cJ- JL~
--
24 I-lour Notice for Alllnspeetiolls
447-4230 frol11 9:00 a.l11. - 10:00 a.m.
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
Received of ~ii (j 4i r
the sum of -\'h.1f"tv) -" ~ly'-----
for the purpose of ~ ~ (~~
RECEIPT # 31400
DATE: ,- 31-97
-------.,--~"-----._., ~-
- ----dollars
$
34.c'O
':
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
SwrNVtr Pmt sw #
Other
Total
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
SwrNVtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrNVtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
100 tl
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1" STEEL
MATCH PLATE
W 1" BOLTS
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8x8 ROUND PIPE
'~41' 32A-
MG-LG Y-tJ.,.J
44" BELOW GRADE
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S/&N f(:x')T1AJ&
lb(]-llDN ONLY
p>~')~c.\L ~1l'J{,.. tJo~
2500 PSI
CONCRETE FOUNDATION'
VALLEY SIGN & SILKSCREEN CO.
P.O. Box 392
PRIOR LAKE, MINNESOTA 55372
(612) 447.4560
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71
F R.E E INSTALLATION
WITH .....PU.RCHASE OF
CENTRAL AIR UNIT
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