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AF-S - 47018CITY OF FRIDLEY Effective: Feb. 1, 1994 SIGN PERMIT APPLICATION oHmer: .�.�T_ /�i�L DB.c�r �a�f:�iJil�Y SIGN EREI�IC)R: �L/E/ �i�.PS' ✓iG,cis Adclr'es,s : �Q � /Y%O,P� � 9i(�.� �.P ADDRF.'SS : D 3 �° — /l�K� __ city/zip: �'.t�i�� % � 3� cr�.'r/z�: . SS 33 Z+el. xo: �'i� 3 S�i TEL. rio: %'y� —SSf�s SIGN LOCATION Addz�ess: �.��D L� /�%iQE LA•!'E L,P_ zoning: L�t: � � Hlock: �� Add.ition: � � DESCRIPTION OF SIGN l. (✓�Wall Length of Wall 9�, Max. Allawable Sq. Ft: 5ign Length: �.� Width: 1� Sq. Ft.: ,�� 2. () PYloa1 Distarae Fr. Prop. Line: 3. 4. Sign I,ength: Width: () Roof R,00f Sign in Lieu of Pylon Sign Sign Length: Width: i ) �i� Distar�ce Fr. Inter/Dwy: _ , Height• Sq. Ft.: Sq. Ft.: constntictad of : LUi►!. 1� �ASr,�e Estimated Value �� Oloo.o� � He ocanpleted . S. R. p Illtnai.nated: Yes 40 1� () IF YES; Electrical P�ermit is Neoessary For Wiring Sign slc�t N�SAGE: NA T/oit/'AL HoBB Y GlJM�i� i✓Y The undersigned herel7y makes appli,,cation for a permit far the wnrk herein s�pecified, agreeing to d,� all wnrk in strict aaoordance with th�e City of Fridley ordinarx�e.s and rulings of th�e Build�.ng Inspection D�nt and hereY�y declares that all the facts and representations stated in this ap�plication are true and oorrect. - n�: ��95' �r�cArrr �A�P.? �J � � . p� Pase i t PERMIT FEES � 0 to 40 squaie feet: $50.00 plus $.50 surcharge if nat lit. 41 squ�are feet or Ymre: $80.00 plus $.50 surcharge if not lit. P�litical Sigr�s: $15.00 deposit, refunded when signs renx�ved STIPULATIONS Rev�lvi.ng beaoo�s, zip flashers and similar devioes including any sairoe of light which changes in intensity are p�ohibited. App�oved By: Date: city siqn oo�ee E�foroezuent i- - - 1� ',,,,'� �. ■ '� 1 � ' 1� � a" , � , '�Ill �� __ . . J 1� 1 �' � � � �