2018-00213CITY 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 : TEMPORARY
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
I
RUMMIMMM
2 0 1 8— 0 0 2 1 3*
DATE ISSUED: 04/1 V2018
SIGN (TEMPORARY) PERMIT FEE
TOTAL
Payment(s)
CREDIT CARD 8654
Permit #: 2018-00213
50.00
50.00
50.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
DEVELOPMENT SERVICES OFFICE USE ONLY
C I T Y OF BUILDING INSPECTIONS Permit # /° .0713
Monficeflo 505 WALNUT STREET, SUITE 1 City Hall (763) 295-2711
MONTICELLO, MN 55362 Building Inspections (763) 295-3060
www.ci.monticello.mn.us — infoQci.monticello.mn.us Fax (763) 295-4404
I TEMPORARY SIGN PERMIT APPLICATION
Date: a -10 ` 1 Site Location/Address: R,3 Z o C eOIA r s
Tenant/Business/Building Name: (AAA) - M6tv-
The Applicant is: Owner Contractor
PROPERTY Name: W,14)_ -MA",
OWNER
Address: u 20 C P-dal 5%•
CONTRACTOR
Other (Describe) Gj LLGjQ
Phone: 7 0- 2 W500
City: I vl o n t" CP l l O State: M I, V Zip Code: 5S, j, 2-
E-mail Address (required) ' t h 'j) 0. S 6 Z q nU &t S, WA I -Y"O / f. L O
Company:
Name:
Address:
City:
Description of Work: Al 6 w
Width - x Height
Location on Property:
Site Plan May Be Required)
Phone:
State: Zip Code:
S10h S ')O
JC" = Total Sq. Feet _(40' MAX) Zoning District
Please Complete Other Side
Computation of Fees:
50 for each temporary sign TOTAL FEE $ 50, 00
RECEIPT #
NOTE: TEMPORARY SIGN PERMITS ARE VALID FOR 120 DAYS PER 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 a maximum of one hundred and twenty (120) days per calendar year. Furthermore, 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. Signs may not be placed within public right of way or
easements.
le -
Name (Print) ro Owner s Signature
if y-0-4
Date
PLEASE RECORD THE DATES TEMPORARY SIGN IS ERECTED FOR THE YEAR: 20 1
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
Date Sign Erected Date Sign Removed DAYS USED
TOTAL DAYS USED THIS CALENDAR YEAR
REO' TIL:. .s INSPECTIONS
Livestigatic," Ft--. pecify Reason:
Permit Approve, y: