2016-00116CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE SIGN
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE SIGN, TEMPORARY/PORTABLE
2 0 1 6- 0 0 1 1 6*
DATE ISSUED: 03/15/2016
NOTE: PLEASE KEEP TRACK OF YOUR DAYS AND CALL THE CITY WHEN NEW DAYS ARE GOING TO BE ADDED. EACH BUSINESS
WANTING TO PUT SIGNAGE UP MUST FILL OUT ANEW APPLICATION. HAVE AVAILABLE UPON REQUEST WITH CORRECT DAYS
FILLED OUT. RETURN THE COMPLETED PERMIT BY JANUARY 5TH OF THE FOLLOWING YEAR.
DO NOT PLACE IN THE PUBLIC RIGHT OF WAY
NUMBER OF TEMPORARY SIGNS
APPLICANT
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. #1000
ROGERS, MN 55374-
OWNER
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. #1000
ROGERS, MN 55374-
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
SIGN (TEMPORARY) PERMIT FEE
TOTAL
Payment(s)
CHECK 91120
50.00
50.00
50.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Date:
Site Location: {/ 7 e
Tenant/Business/Building Name: Alpi &+,i wo,/kA ra
OFFICE USE ONLY
Permit # t u -oo of ,
City Flail (763) 295-2711
Building Inspections (763) 295-3060
Fax (763) 295-4404
i
Aeo4,fee //0
The Applicant is: Owner Contractor Other (Describe) . t A
G
PROPERTY Name: ' e Ll ' (%t Gl- Phone:
OWNER
Address: r 3y-
City: xa QA,5 State: Ail Zip code:" 37`/
E-mail Address (required)_6A i. dpkQI I/xj p 2 5. Lr i
Company: ` ./' oLj;t
CONTRACTOR
Name:r) Phone: J
Address: ,.
City: State: Zip Code:
Description of Work: (Sign Messages)
Width 9' x Height Ll
Location on Property:
Site Plan May Be Required)
Total Sq. Feet (32' MAX) Zoning District
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 pcnmit allows me to display a portable sign or
banner on my property for a maximum of forty days per calendar year. Futhermore, I hereby agree to maintain a daily account of the use of
banners on my property. ffI fail to keep such an accounting, I will not object tb City rescinding my permit, and I will not object to having a City
employee enter my property to remove banners or portable signs. i
a,r,0, y
Name (Print) Property Owner's SignaturId JAIDate
PLEASE RECORD THE DATES TEMPORARY SIGN IS ERECTED FOR THE YEAR:
Date Sign Erected /,/C Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
Date Sign Erected Date Sign Removed
20
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
DAYS USED
TOTAL DAYS USED THIS CALENDAR YEAR