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. City of Orono Permanent Sign Permit Application O Mailing Address: Permit number: ab —�/ f � NO � PO Box 66 ; �1, Crystal Bay, MN 55323-0066 Date received: �/—� J'�� � �w Street Address: R e c e i v e d b y: S.� �,- I� 2750 Kelley Parkway Permit Fee: $50.00 per sign t `' Orono, MN 55356 qkfSNv�� Main: 952-249-4600 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 print) GENERAL INFORMATION: % f Site Address: �� Street Frontage of Property (feet) Size of Existing Sign: Existing Materials: Existing Illumination: Sign Face Length: ❑ Wood ❑ External Sign Face Width: ❑ Plastic ❑ Internal Total Square Footage�� ❑ Metal ❑ Indirect Top of Sign to Grade: �Other(specify) f� Other(specify) Distance from Bottom �/�� of Sign to Grade: OWNER INFORMATION: Name: �� Address: / City: ZIP: Contact Person: �/� S�(,� Phone: f'�Z—r2l.1-77/f� Email and/or Fax CONTRACTOR/APPLICANT: Name: �� Mailing Address: � City: ,,,� ZIP: � 33 Contact Person: s�� f _ __ Phone: ��y,(�-��5�f� '`"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: l� �New Sign Installation Sign Face Length: � � ❑ Wood ❑ External �ll ❑ Sign Alteration/ Sign Face Width: � Plastic �Internal Face Change Q Total Square Footage: � P �Metal ❑ Indirect ❑ Other(specify) / Top of Sign to Grade: �� ❑ Other(specify) ❑ Other(specify) Distance from Bottom �O� of Sign to Grade: '' A Minnesota State Electrical Permit is required if electrical work is proposed. March 2016