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City of St Anthony SIGN PERMIT APPLICATION 3301 Silver Lake Rd'St.Anthony,MN 55418 Phone2.3301 •Fax 612.782.3302 www.cf.ww.d.saint-anthony.mn.us Permit Number Date of Application: T/ Date Contractor NotYfied: Property I • • Property Type: ❑ Commercial ❑ Industrial ❑ Multi-Family C] Town homes/Condos Property Address: 77 v� ffK)14 Owner Name: Owner Phone Number. f �`r1231 . . . • Applicant Type: Contractor, License# Applicant Name: Mailing Addre CilyrlStatelLip: Contact Name: Contact Phone Number: Conte Fax u . Project Details Sign Details: Width Height Length j Z r Total Sq.Ft. I Sign Wording: Project Value:(including labor and materials) e--,z �S IMPORTANT NOTICE: Applicant must attach 1 site plan and 2 sets of Plan Review: building plans for all applications requiring plan review. Min. 24 hour notice required for all inspections. There is a 10 working day turnaroundApproval,Special Conditions: for all permits requiring plan review. Separate permits are required for 8 electrical, plumbing, heating ventilation or air conditioning. This permit becomes null and void if work or construction authorized is notA/ commenced within 180 days, or if construction or work Is suspended or abandoned for a period of 180 days at any time after work has commenced. By signing this ica a fion,you hereby certify that you haveI f read and examined this ca tio and know the same to be true and t ` correct. All provision laws and rdinances governing this type of work ❑ Denial,Reason for Denial: will be complied whether sp fied herein or not. The granting of a G permit does n presume to a authority to violate or cancel the provisions of y other to local law regulating construction or the erf rmance f ns on. plicant takes full responsibility for all work pert rmed. 'p s re onsible for all plan check fees if permit is can I or n Polic9int gnature Date City Official Date Last Revised August 2005