2016-01054 - sign on building - Laserfiche WebLink

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w � City of Orono Permanent Sign Permit Application �O�O Mailing Address: Permit number: D -�/OS PO Box 66 Crystal Bay, MN 55323-0066 Date received: �'�"�� StreetAddress: Received by: yh T y � 2750 Kelley Paricway Permit Fee: $50.00 per sign `� �' Orono, MN 55356 `�'�ES H�� Main: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please p►int) R��,ef�� GENERAL INFORMATION: Site Address: a$'pp Sho,r.�.ywdok R� . A�Q '� Q �Q'S Street Frontage of Property (p 3 p (feet) CITY OF�RONO 3ize of Existing Sign: � Existing Materials: � Existing Illumination: Sign Face Length: ❑ Wood ❑ External Sign Face Width: ❑ Plastic ❑ Internal a ' Total Square Footage: �/ ❑ Metal ❑ Indirect �� O Top of Sign to Grade: � ❑ Other(specify) ❑ Other(specify) � Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: lJq�r�-s �O�(8' L,L.�_ Address: �11c, II r`" F�ve. .Sb . City: Na,��.�nS ZIP: S'�3cf� Contact Person: C1��,s ��ok- Phone: `1 Sd -7�9 -1��4� Email and/or Fax �n�ak a sod C�ti �-� \� Lor►� CONTRACTOR/APPLICANT: Name: Uavre:}S $uS� L•L•�. MailingAddress: ylc� I1'� 19-�� . So. City: �..�� ZIP: ,sS3`�� Contact Person: Phone: (o I� - 3�. - 3302 1 **All work is to be done per Minnesota Building Code PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: � Proposed Materials: Proposed Illumination: �� �, New Sign Installation Sign Face Length: � 2 ❑ Wood ❑ E�ernal 1 ❑ Sign Alteration/ Sign Face Width: W ❑ Plastic ❑ Internal Face Change � Total Square Footage:-,��C� ❑ Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade:�� LR] Other(speafy) ❑ Other(specify) Distance from Bottom 1 � ��k- � ��y� bn � of Sign to Grade: �S M�'tw\ �1 S A Minnesota State E/ectrica/Permit is required if e/ec rica/work is proposed. March 2016