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. � '� <br /> ' City of Orono ��' � ;3 2Q�� <br /> Permanent Sign Permit Application <br /> Mailing Address: �'7�` <br /> ,��Q A> �' Permit number: <br /> `VO I <br /> PO Box 66 <br /> J w �a Crystal Bay, MN 55323-0066 Date received: l�`��--/ <br /> � � Received by: <br /> l . � � Street Address: <br /> ti � 2750 Kelley Parkway Permit Fee: $50.00 per sign <br /> `�t � Orono, MN 55356 <br /> qkESH��� <br /> Main: 952-249-4600 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 print) <br /> GENERAL INFORMATION: <br /> Site Address: �S� � <br /> Street Frontage of Property (feet) <br /> Size of Er.isting Sign: <br /> Existing Materials: Existing Illumination: <br /> Sign Face Length: <br /> ❑ Wood ❑ External <br /> Sign Face Width: <br /> ❑ Plastic ❑ Internal <br /> Total Square Footage: `cJ'�'� <br /> ❑ Metal ❑ Indirect <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: � <br /> Address: 0 5, City: � ZIP: <br /> Contact Person: ����-�/�� <br /> Phone: �S'Z_ZZlP—�""��C�j <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: � �/(��lJj <br /> Mailing Address: L/ � �' j�,!/ City: � ZIP: 3 <br /> Contact Person; � <br /> Phone: ��_ ���_ �5�� <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: ❑ Wood ❑ External <br /> �,� <br /> ❑ Sign Alteration/ Sign Face Width: Plastic ,�Internal <br /> Face Change <br /> Total Square Footage:� � Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> March 2016 <br />