2017-00093CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 9320 CEDAR ST S
PIN 155169001010
LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE SIGN
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE SIGN, TEMPORARY/PORTABLE
NUMBER OF TEMPORARY SIGNS
APPLICANT
WAL-MART REAL EST BUSINESS TR
1301 1 OTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
OWNER
WAL-MART REAL EST BUSINESS TR
1301 LOTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved by
the Building Official. I agree that any damage caused to
public property including but not limited to curb, sidewalk,
public utilities and signs will be repaired at my expense.
Applicant
Date
Bldg Official Date
2 0 1 7— 0 0 0 9 3*
DATE ISSUED: 02/27/2017
SIGN (TEMPORARY) PERMIT FEE
TOTAL
Payment(s)
CASH
50.00
50.00
50.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
505 WALNUT STREET, SUITE I
MONTICELLO, MN 55362
MONTICELLO www.ci.monticelloinn.us — info(aki.monticellomn.us
OFFICE USE ONLY
Permit #xoll-oobCity
Hall (763)295-2711 Building
Inspections (763)295-3060 Fax (
763)295-4404 Date:
2]ZV17 Site
Location: 93Z® Cedar 6f rccf Montcelto) MN 553&Z Tenant/
Business/Building Name:Wa I nq o rl The
Applicant is: Owner A Contractor 0 Other (Describe) PROPERTY
Name: Wal rn or Phone: (163) 2q5- ?y00 OWNER
Address:
9 3 Z 0 Cedar 6jmc City:
M ont cc I I o State: M N Zip Code:,5536 2 E-
mail Address (required) eCfhor n . 5 0,362 q . U5 & Wolmorf, coln, Company:
CONTRACTOR
Name:
Address:
City:
State: Description
of Work: (Sign Messages) NoN
h r!n 5farfin '11 NI
h15 412,50 Phone: Zip Code:
Width
x Height =
Total Sq. Feet MAXI Zoning District Location on Property:
Site Plan May
Be Required)
Computation of Fees:
50 for each temporary sign TOTAL FEE $
RECEIPT #
NOTE: TEMPORARY SIGN PERMITS ARE VALID FO 120 DA SPER CALENDAR YEAR)
This form must be kept in an accessible place and available for review by City staff at any time during normal working
hours. Failure to maintain an accurate log sheet may result in the City rescinding the annual permit.
I have reviewed city regulations pertaining to portable signs and banners. I recognize that this permit allows me to display a portable sign or
banner on my property for o R " it a. , 440,1 i , „ ;, V„ ;:. icaiendAIMM Futhermore, I hereby agree to maintain a daily account of the use of
banners on my property. If I fail to keep such an accounting, I will not object the City rescinding my permit, and I will not object to having a City
employee enter my property to remove banners or portable signs.
ame (Print) W-P er's Signature
Date
PLEASE RECORD THE DATES TEMPORARY SIGN IS ERECTED FOR THE YEAR: 20f
Date Sign Erected 7 Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
Date Sign Erected Date Sign Removed DAYS USED
TOTAL DAYS USED THIS CALENDAR YEAR