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P - 48499Planning PERMANENT SIGN Per,�,;t No.�`1��i � f' "3` � Division PERMIT APPLICATION Recei�ed By: - 763-572-3595 CITY OF FRIDLEY D�%��!:A N� 201 763-571-1287 fax eFFecrivE�-i-zo�o DATE: APPLICANT E-MAIL ADDRESS: �� EJ�S�TiiW/Y�Sf U'' ��-��%�% 1NSTAL,LATION ADDRESS: `� / � ��S�p�,vr�y,� /�JU y SUITE THIS APPLICANT IS: ❑ PROPERTY OWNER ❑ TENANT IGN ERECTOR NAME: ° �J/'� SIGNATURL-:�13�i� �g�� ` PROPERTYOWNER A�pRESS: � � �V< .�J�L,U S /�%'ci %? • " c�TV .�� r1//�G' r/ �✓ sTATEJI�i✓� ziP _�'S� j�`�� PHONG: ' / "� % G�CELL PHONE: FAX: TENANT NAMG: ��Z%/JL1°�� 9J/G,Ji�� ADDRESS�� I,S,%3,�f��}f. /�G �i�'D SUITE CiTY �KI //�� S'iATG�/Y 7[P PfIONE:J�3 .7,�- _3�/�'/7 CF.,LL PHONE: FAX: SIGN ERECTOR NAMF.: 0 ' ''rOj�-%✓ `.S�/(3/�/ %/'�G - (Requires City License) ADDRESS: �[p �:�� je.,�i�/�/� „S/ /Y SUITE crrv ,��/?/I �,� b'�:' sTa�r�,�1/e/' zlP ��0,�_ PHONE:%.� "%�� ' 7 7y �— CELL PHONE: FAX�� 9�� CI'fY LICENSE: ��%L-� "—�.�'�.�� %� EXP[RATION DATE: APRIL 30 NOTE: Per Ciry Code Sect 214. ] 9, a Ciry licensc must be obtained by every person engaging in sign erection; canstruction and repair, including billboard and electrical si ns. City license fee is $35.00. s►cN MESS.a�E: f.�%l��i""�' ��.d�i/Ci�-�- � 7�%-,� 7 ZONING: ��:-� LENGTH: j�% �� HEIGHT: �� = TOTAL SQ FOOTAGE: �� CONSTRUCTED OF: ��/i%J� �'I%'VL -� l `��-�C�.r-��%�',JTT �L„��/�C - ILLUMINATED: ❑ NO L►1 YES IF YES, AN ELECTRICAL PERMIT IS REQUIRED TO WIRE SIGN ESTIMATED VALUE: all Len th of walL• �('% Allowable s ft: ❑ P lon Setback from ro ert line: From drivewa : Off round: ❑ Monument Setback from ro e line: From drivewa : ❑ Roof ln lieu of lon si n: NOTES: 'IS S/�11� �%Ll �5� f..�!'!!'�/ ,��%/�'�y/�ji/��%�d''% ��/"�!' %S �/y%(%ST�/� �X 2-� .S' �,� �'� %y/.�.� '" �iT o�, FEE SCHEDULE SIGN PERMIT FEE: $350.00 IP NOT ILLUMINA�I'ED, ADD $5.00 STATE SURCHARGE: Torn�: '�3�"' � 'I'HIS IS AN APPLICATION 1°OR A PGRMIT-NOT VALID UNTIL PROCESSED The undersigned herby makes application for a permit far the wark herein specified, a�-eeing to do all work in strict accordance with the City of Fridley ordinances and rulings of the Pla � Di ision and hereby declare s that all the facts and representations stated in this application are true and correct. � , SIGNATURE OF AFP C NT 'r PRINT NAME ,�%Cv %QX DAT �'—./� /� � � _ _;•- ) - � �� I �� '� �� , �� e.)� ., � a� APPROVED BY �� ; � � ! � �� 4. , ��` a'?� PRINT NAM� � �° f �G '`�� s � �,."'1, � ATE a ' ' � INSPECTION: ❑ FINAL �, � PLEA E NOTE: SEPARA`€E PERMIT IS REQUIREI7 FOR ELECTRICAL W�RK CI"CY UF FRIllLEY - PLANNING DEPARTMENT 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 � A� . ��'�;, �s � r�� .,i r�,� �� :: �� ^ � .� :. � ?. ��. �.s,: �� ; � ��. ��; �, w; �; �� ; �.� �"" �' ,�.� -�. �': �,� � � � '° � �� :� � � � � � �� ; �; .� � �� " � a"� �,.. �� ; �� „� ". , � �� . ,_ ,. ��.� �' . � � ' ,y R� � �� ,� �"x� �. .&_ � ,"' ;_` �,<, : :�, �� .. � ek � e�. .,�., - �, � , w v r. �; '- t -'� '' i"� . � �� : � �. � ��..� �. . .�. . „ � " . � � i,. � ,. �� ,�' � _ � �. � .'t�`� 3 S. � ��.as� � � � �v, �i. ,k:��:� . .... �R� � � � � ::J.. ,� �� :. ��. ;�,,,,�k ��, � _, • �w . . � � �`' bx ��;.� �'� �=�r � .�, ;�. �.� N � � l ' � "� �" � Z y� . � � � � � �"a � �a \�S�'� `� �t `� � + � � � � �� ` ��. �. � i, � �! �1 � � � �� `�1 � � � e �=' _.��` �<�� `.�. �.�� . ,. , � � �g �... . �d� �� . f .�� Pa: : . F�.h �'��` #P� �83 A st �. e' � � S. '�� 4��. A� sa. ry - ' �. � � �"i� �'��, v"t' ' k � . � � � } � � # � �, 4' � x`§.'.aY^3 �'" �a��x � . .. �,s#v"'`�'�,*, .��`�� ,� � . . � ��'. . �: i � . _ � � . . � � .� . .. . .. .. � �. � . •� �� t �� '"� � � '- ��. �'Y� � J ,�'..': � � . ��£ 2 � � � � � � �'+�,P'=?"y t,�a 3t �' "1�`*S -5� . . . x� �. �P• � ,fy� �? ?w . . v �.G'" �'"`�� `� � � a '� � �'' . . - . . . � �° , � �s� � � � � Y , ,� �� ; ` i ' � ;� � � _ � .�: � � � , ' � rt �� ;� � *� � , ��<, _,�:,�x � G., � �� .. � � � � �. ,,,� � � � �. �� : r� � �� 4 4 � 0 � � �: it'� :� �� :� €�;. /; �, � �� j 6 l J E � V S . � i v i� V � � � `>_. � F _ � �J �� ' t � �� t � �� (�, � � �. � � � � �\ , .; � ;� . . . . . .. . ._ ..�- `�� i � �: � ' ��t � � � � ;t`' � � �: � �. °e _� �. �. � � , �. .�. � �`a � � � �� s � C �� , �-� �.. � � �; �- � � � i� ��/ l ' Fv , � � � �� n � �� _ � �:� _ � � � �i � � � s� i �o _ � �� t � � .z ; � - ;� . � _.