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HomeMy WebLinkAboutLA197996SIGN PERMIT APPLICATION & ELECTRONIC SIGN LICENSE City of Lakeville -Planning Department 20195 Holyoke Avenue -Lakeville, MN 55044 952.985.4420 -www.lakevillemn.gov THE FOLLOWING INFORMATION MUST BE INCLUDED WITH YOUR APPLICATION: □Payment for amount of permit.D 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. D For wall sign, art work with dimensions of sign and drawings of building fa9ade 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. Name Crystal Park Townhomes BUSINESS Address 16373 Jaffna Place INFORMATION City Lakeville State MN Zip 55044 Contact Nick Velardi, DR Horton Homes Day Phone# 612.508.5199 Email Address N EVelardi@drhorton.com (Developer) Name Nick Velardi, DR Horton Homes PROPERTY Address 20860 Kenbridge Court, #100 OWNER City Lakeville State MN Zip 55044 Contact Nick Velardi Day Phone# 612.508.5199 Email Address NEVelardi@drhorton.com Company Name Elements, Inc. SIGN Address 10044 Flanders Court NE #100 CONTRACTOR City Blaine State MN Zip 55449 Contact Jim Carlson Day Phone# 763-210-7747 Email Address jimcarlson@elementsinc.com □Electronic Sign T�Qe and Dimensions ($100 per sign pluscompletion of electronic sign □Wall Sign:Width Height: license, see Page 2)Square feet PermanentSIGN ($75 per sign)� Freestanding: Face Width 20" Height 20" DESCRIPTION □Temporary Sq.ft 2.7 Overall Sign Height 5'-3" Setbacks: Front 15' Side 15' ($50 per event, up to 60 daysper year. Max of one temp sign displayed at a time.)□Temporary Width Height Temporary sign displayed dates: Sign Square Feet Display location START DATE END DATE Changeable Cog�: Illuminated Sign: T�Qe of Work: � No Changeable Copy □Internally illuminated � New Sign □Manual Changeable Copy □Externally illuminated □Replacement Sign □Electronic Chan ge able Copy � Not illuminated □Alter Existing Sign (Electronic sign will require annual license review & renewal, see Page 2) Applicant Signature: ---"""'Yl4--,................_ __________ Date: 10/4/2021 Applicant Printed Name: __ J _im_C_a_rl _s_o_n._E_l _e _m _e_n _ts _, _ln_c _. ______________ _ LA197996 X X X $75.00 $75.00 1 December 2021 XX RM-1 *Call 952.985.4440 to schedule footing inspection. * Email kjenson@lakevillemn.gov after installation for final inspection. LA197996 165TH STREET W.(15’-0” FROM EDGE OF PIER)