2018-00265CITY 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 1OTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
OWNER
WAL-MART REAL EST BUSINESS TR
1301 IOTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
1
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 8— 0 0 2 6 5*
DATE ISSUED: 06/05/2018
Permit #: 2018-00265
SIGN (TEMPORARY) PERMIT FEE
TOTAL
Payment(s)
CHECK 10136975
50.00
50.00
50.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticello
DEVELOPMENT SERVICES OFFICE USE ONLY
BUILDING INSPECTIONS Permit # -
505 WALNUT STREET, SUITE 1 City Hall (763) 295-2711
MONTICELLO, MN 55362 Building Inspections (763) 295-3060
www.ci.monticello.mn.us — info( ,ci.monticello.mn.us Fax (763) 295-4404
TEMPORARY SIGN PERMIT APPLICATION
Date: 03.30.2018 Site Location/Address: 9320 CEDAR STREET, MONTICELLO, MN 55362
Tenant/Business/Building Name: WAL-MART STORES, INC.
The Applicant is: Owner O Contractor ® Other (Describe)
PROPERTY Name: WAL-MART STORES, INC. Phone:
OWNER
Address: 702 SW 8TH STREET
City: BENTONVILLE State: ARKANSAS Zip Code: 72716
E-mail Address (required)
Company: TNT FIREWORKS
CONTRACTOR
Name: VIRGINIA DANIEL Phone: 256.764.6131
Address: 4003 HELTON DRIVE
City: FLORENCE State: ALABAMA Zip Code: 35630
Description of Work:
Width 2' x Height 15' = Total Sq. Feet 30' (40' MAX) Zoning District
Location on Property:
Site Plan May Be Required)
Please Complete Other Side
Computation of Fees:
50 for each temporary sign TOTAL FEE $
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.
Name (Print)
Date
5ee- pen-11S%-LoV1
Property Own is Signature
PLEASE RECORD THE DATES TEMPORARY SIGN IS ERECTED FOR THE YEAR:
Date Sign Erected
Date Sign Erected
Date Sign Erected
Date Sign Erected
Date Sign Erected
Date Sign Erected
Date Sign Erected
Date Sign Erected
Conditions of Issuance:
Investigation Fee:
Permit Approved By:
06.20 Date Sign Removed
Date Sign Removed
Date Sign Removed
Date Sign Removed
Date Sign Removed
Date Sign Removed
Date Sign Removed
Date Sign Removed
07.07
I e-"-e v-
2018
DAYS USED 18
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
TOTAL DAYS USED THIS CALENDAR YEAR 18
REQUIRED INSPECTIONS
SITE FINAL
Specify Reason: Amount: $ `(
Date: _/77 4
III
rl,m" M
TNT Fireworks to scope parking lot space and sell fireworks
To- American Promotional Events, Inc. D.B.A. TNT Fireworks
F <(1 ' Walmart Services
Date 01/02/17
RE: TNT Fireworks to scope parking lot space and sell fireworks
Dear Valued ISO,
Thank you for your continued support and collaboration. Upon arrival at the store where the event/promotion will occur, this access
Letter ("Letter") should be provided to store management. This letter shall serve as proof that you are authorized to enter the store and
complete the parking lot scoping and execution of a temporary firework stand as a promotion/event for the time period specified below.
You are also authorized and required to obtain the proper permitting as required by the local city, county, and/or state. Only your
employees (collectively "Representatives") may perform the promotion on your behalf. Your Representatives must produce credentials
to store management showing that the Representative has been authorized by you to perform the promotion on your behalf.
Sconlno Timellne: Scope work may happen anytime from January 01, 2017 — July 31, 2018
Sales Timellne: Parking lot sales may happen anytime from June 15, 2017 — July 31, 2018
Store Associate (Manaaement) Resoonsibilitles:
1) Allow and agree upon space with TNT Fireworks to sell fireworks on the parking lot during the Independence Day season
2) Customers and employees of TNT Fireworks may have access to restrooms in Walmart facilities
3) For other questions call Walmart Field Support at 1-700-Walmart
4) Keep a copy of this LOA for your records
This particular program does NOT violate the Walmart Corporate Solicitation Policy.
Best regards,
a Danielson
Manager 11, WM Services
Anne J nso
Directkr,Ydimart Services