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Home My WebLink AboutLA194078THE FOLLOWING INFORMATION MUST BE INCLUDED WITH YOUR APPLICATION: Payment for amount of permit. For freestanding/monument/pylon sign - a site plan with setback from property line dimensions and art work with dimensions of sign, and engineered design for footings and foundation. For wall sign, art work with dimensions of sign and drawings of building façade showing location of sign. If illuminated or if electrical services are needed, a separate electrical permit is required. If leased space, need to include a letter of approval from the property owner. BUSINESS INFORMATION Name__________________________________________________________________________________ Address________________________________________________________________________________ City ____________________________________State__________________ Zip _____________________ Contact _____________________________________Day Phone # ________________________________ Email Address __________________________________________________________________________ PROPERTY OWNER Name__________________________________________________________________________________ Address________________________________________________________________________________ City ____________________________________State__________________ Zip _____________________ Contact _____________________________________Day Phone # ________________________________ Email Address __________________________________________________________________________ SIGN CONTRACTOR Company Name _________________________________________________________________________ Address________________________________________________________________________________ City ___________________________________ State___________________ Zip _____________________ Contact _____________________________________Day Phone # ________________________________ Email Address __________________________________________________________________________ SIGN DESCRIPTION Electronic ($100 per sign plus completion of electronic sign license, see Page 2) Permanent ($75 per sign) Temporary ($50 per event, up to 60 days per year. Max of one temp sign displayed at a time.) Temporary sign displayed dates: START DATE ________________________ END DATE ________________________ Sign Type and Dimensions Wall Sign: Width ____________ Height: _______________ Square feet _____________________________ Freestanding: Face Width_________ Height____________ Temporary Sign Sq. ft__________ Overall Sign Height _________ Setbacks: Front _________ Side ____________ Width___8'________ Height __3'_____ Square Feet__24'_________________ Display location _______________________ Illuminated Sign: Internally illuminated Externally illuminated Not illuminated Type of Work: New Sign Replacement Sign Alter Existing Sign Changeable Copy: No Changeable Copy Manual Changeable Copy Electronic Changeable Copy (Electronic sign will require annual license review & renewal, see Page 2) Applicant Signature: ____________________________________________Date:_________________ Applicant Printed Name: _______________________________________________________________ SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE City of Lakeville – Planning Department 20195 Holyoke Avenue - Lakeville, MN 55044 952.985.4420 - www.lakevillemn.gov Rayus Radiology 10438 185th St. West Suite 100 Lakeville MN 55044 Schad Tracy Rick Ballantyne 1610 Cliff Road Burnsville MN 55337 952-894-2421 mmarshall@schadtracy.com 08/4/2021 07/29/2021 Rick Ballantyne 10/1/2021 Jason Gabrielson Lakeville MN 55044 jason@cradvisorsmn.com 612-817-8375 SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE Page 2 Electronic Display/Changeable Copy Sign License Single occupancy building with gross floor area over 100,000 sq. ft. within the C-3 District and within the Freeway Corridor District. By signing below you are certifying the electronic signage meets the following performance standards: 1.The display sign shall not change more than once every twenty four (24) hours. 2.The display sign shall not include scrolling, flashing, animation, or other effects. 3.The display must be static and the transition from one static display to another must be instantaneous without special effects. 4.The display image or message must be self-contained, without continuation in content to the next image or message. 5.The brightness of the sign shall not exceed 5,000 NITS after sunrise and before sunset or 500 NITS after sunset and before sunrise each day. 6.The sign shall be equipped with an automatic dimmer control or other mechanism that automatically controls the sign’s brightness to comply with this condition. 7.The display must be designed and equipped to freeze the device in one position if a malfunction of the electronic display occurs. 8.The display must also be equipped with a means to immediately discontinue the display if it malfunctions, and the sign owner must immediately stop the electronic display when notified by the City that it is not complying with the stipulations of this section. 9.The sign shall comply with Chapter 23 of the Zoning Ordinance. Signature_______________________________________ Date______________________________ Print Name______________________________________ Email ________________________________ EXPIRATION AND RENEWAL OF LICENSE: •All licenses expire on December 31st of each year. •License may be renewed only by making application as provided in Section 3-22-4 of the City Code. •Application for renewal shall be made at least sixty (60) days before the expiration date. •Each renewal license shall be issued for a maximum period of one (1) year. •Annual license renewal fee is $50.00 Office Use Only Sign Permit Type: Permanent Sign _____ Temporary Sign _____ Electronic Sign _____ Work Type: New _____ Addition _____ Repair _____ Demolish_____ Replace _____ Alter/Remodel _____ Move _____ Owner: Public _____ Private _____ Zoning District: Commercial _____ Industrial _____ Residential_____ Freeway Corridor _____ Required Inspections: Footing _____ Final _____ Permit Fee: Permit Fee _____________ Miscellaneous ___________ Total ___________________ Comments: ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Approved by:____________________________ Date:___________________________________ (REVISED JUNE 2017) X X X O-R X $50.00 $50.00 16 August 2021 * Temp sign permit is valid from 20 August to 18 October 2021. BANNER OPTION 1.1: 8'-0" 36"