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<br />~ <br />~HlLLS <br />1245 W Hwy 96. Arden Hills MN 55112 <br />Phone 651.634.5120" Fax 651.634.5137 <br />www.d.arden-hills.mn.us <br /> <br /> <br />Property Information <br /> <br />APPROVAL_ SP01- <br /> <br />SIGN PERMIT APPLICATION ($50)' <br /> <br />*Separate permit required for each sign; <br />.. City Conl'1lctor License Required for Commercial Contractors <br />Payment Method: Cash. Check . Credit Card <br />Reference Number: <br /> <br />Date Receipted: <br /> <br />l'0t:. <br /> <br />Occupancy Group: <br />(For otrlCe Use Only) _ <br />BldgJSulte/Locatlon (commercial pr ~ O~!rr <br />..... i"-...! <br />~~:.. <br /> <br />Property Type: o Residential o Commercial <br /> <br />o Public <br /> <br /> <br />Prop Address. <br />- ~\)-, 6,""7"7 <br />J-y~) .:;:><-.)') <br />Owner Name: \ <br />! C'\fv\{ C l\!>..\rtR <br />lMailing Address: I <br />I '7 <; <br /> <br />Owner Phone Number: (l) <br />'\ c; 0 <br />G lif - bC'S:- 1(10 Cl <br />0\.4 ,tq,(j ci5~~(:-5 ~ <br /> <br />Applicant Type: 0 Homeowner DContraclor. license #________n_______ <br /> <br />I 'Applicant Name: <br />0('0\( <br />iMalling Adaress: <br />i <br /> <br />t'5 <br /> <br /> <br />Projeet Details <br /> <br />SIgn Type: ~nnanent <br />o Temporary; Oates of Display 10_ <br />"rem ra 81 nscanbedis Ia dnolon erlhan30da ercahmdar at. <br /> <br />WidlhMf{ H'i9hl~~5~angth_!fr~ Tolal Sq,Fl~ <br /> <br />!Sign OelaUs: <br /> <br />U~ng (backlit, hI;llo, internal, external, etc.): <br />. 4-V11'1Il\ '-EJ2- <br />MethOd of Affixing: <br /> <br />I <br />_--.--l <br />I <br />! <br /> <br />lSign Wording: V" c <br />[ Cl.rLOV :> <br />IStyle (monument. pylon, wall ~\n, banner, A.): <br />: \';,\ \"m:-K <br />jConslruclion Materials: <br />, <br />I <br /> <br />IMPORTANT NOTICE: Applicant must attach 1 site plan and 2 sets of <br />building plans for all applicalions requiring plan review, Min. 24 hour <br />noUee required for all inspections. There is a 10 working day turnaround <br />for all permits requiring plan review. Seoarate oermils are recuired for <br />electrical olumbina heatina ventilation or air conditionlno. Thls permil <br />becomes null and void if work or construction authorized Is not <br />commenced within 120 days, or if construction or work Is suspended or <br />abandoned for a period of 120 days al any time after work has <br />. commenced. By signing this application, you hereby certify that you have <br />'read and examined this appJJcalion and know the same to be true and <br />correcl All provision of laws and ordinances governing this type of work <br />will be complied with Whether specified herein or nol. The grantlng of a <br />permil does not presume to give aUthority to violate or cancel lhe <br />provisions of any other slate or local law regUlating construction or the <br />performance of construction. ppllcant lakes lull responsibility for all work <br />perlormed. App:. Is r p: sible for all plan check fees If permit Is <br /> <br />canoc~ r ~ ~ <br />~k2 :::> /KiO] <br />Applicant S' nature Dale <br /> <br />LastR&l?sedAlI9lJsf2005 <br /> <br />Planner Review: <br /> <br />o Approval, Special Conditions: _________.__.___.__.__._"..... <br /> <br />----...-.--.---.-....-..-.-.---.--.---- <br /> <br />~oeni~r.Reasonforoenial: dce7 11c-7-.... Jt.-r:?e.-f . <br />-iJ-ih.----C.c>.d.e___I2:p.<iCfh c 1:rG.."'f>!.&O./j;. <br />St_ >1~I'7,c~~.__ <br /> <br />~/ <br /> <br />~nner Sig ure <br /> <br />(;- ('1"-1a::7 <br />Date <br /> <br />.-- <br /><1" <br /> <br />.!!1 <br />5: <br />r:: <br />Q) <br />"1::l <br />'- <br /><( <br />'l- <br />o <br />>. <br />:!::: <br />C,) <br /> <br />::,'- <br />