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