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� <br /> 4 <br /> City of Orono �,�� <br /> Permanent Sign Permit Application a <br /> Mailing Address: ad��-�b/ <br /> ���0 PO Box 66 Permit number: <br /> Cryatal Bay,MN 55323-0066 Date received: -5-/� <br /> St�eef AOdress: Recsived by: � � <br /> � � 2750 Kelley ParkwaY � <br /> ye� p Permit Fee: $ 0.00 per sign <br /> t'�kFSHo�`` Orono,MN 55356 <br /> Main: 952-249-4600 �ax: 952-249-4616 www.cl.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applicationa wlll be retumed. (Please print) <br /> GENERAL INFORMATION: <br /> Site Address: 00 had 00� � <br /> Street Frontage of Pr�perty .� f ���� <br /> Slze of Existing Slgn: Noh� <br /> Exlstlnp MaMrials: ExlstFng Illuminatlon: <br /> Sign Face Length: <br /> ❑ W�d ❑ Extemal <br /> Sign Face Wldth: <br /> ❑ Plastic ❑ Intemal <br /> Total Square Footage: <br /> ❑ �� ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other(sP�Y? ❑ Other(sPe�Y? <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMA170N: <br /> Name: �5 � LC-G <br /> Address: �� City: ,- f ZfP: ✓ � <br /> Contad Person: � ,� <br /> Phone: _95� - �e� - .���/� <br /> Email and/or Fax � d o <br /> CONTRACTOR!APPLICANT: <br /> Name: a� �y�� <br /> Malling Address: City: ZIP: �� <br /> Contact Person; w <br /> Phone: R�z�-_9C��'"�Jp,�L�— <br /> "All work is to be done per Mlnnesota Bulldtng Code <br /> PROP08ED SIGN INFORMATION: <br /> Type of Proposed Slpn: Slzs of Proposed$Ign: Proposed Mabrials: Proposed Illuminatlon: <br /> [d�New Sign Installallon Sign Face Ler�gth: `3��J �� ❑ Wood ❑ F�demal <br /> ri <br /> ❑ Sign Alteratlon/ Sign Faoe Wldth: � �,..� ✓[�Piasdc [✓�Intemal <br /> Faoe Change <br /> Total Square Foatage: a� _ [�'Metal ❑ Ir�direct <br /> ❑ Other{speGfy) e <br /> Top of Sign to Grade:_ 1� ❑ Other(spedly) ❑ Other(speclfy} <br /> Distance from Bottom � .�,�G� <br /> �.__W_n�r____.______._ __ <br /> of Sign to Grade: � � . <br /> A Mfnnesota State EIecLlca/Permk Is reqtrlred ff electrlca/work ls proposed. <br /> Mard,2a�s <br />