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' � 1 f r �� <br /> � �,� • a� �- <br /> City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: p'`�O10—OD��J' <br /> O��,�.0 PO Box 66 Perrr►it number: <br /> Crystal Bay,MN 55323-0066 Date received: •� /O <br /> a ` ';, ,, Street Address: Received by: �� <br /> '�, ' �ti`� 2750 Kelley Parkway Permit Fee: $ . � <br /> ���o�,� Orono,MN 55356 O � � <br /> t <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 su itted. <br /> Incomplete applications will be returned. (P/ease print) <br /> GENERAL INFORMATION: <br /> Site Address: �Z3� ' �$�If���c�3csJ� �,� <br /> Street Frontage of Property �feet) <br /> , ting Sign: Size of Existin Sign: Existing Materials: Existing Illumination: <br /> � <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> �Needs Alteration/ Sign Face Width: / ❑ Plastic ❑ Internal <br /> ace Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: , <br /> Name: /�/� LS�f,�C3<�'/✓ //�Al�i�C�tr ���.�ie�,r��,,�G.s%�F'�.� <br /> Address: Z377 S�Nl�t,✓wooi7 �. r' City:q2tj,�C� ZIP: 5,�',3�j( <br /> Contact Person: d�,�,e �/Sr/t,��';N�/ <br /> Phone: 95'Z-,!7/-/0�/ <br /> Email and/or Fax �q;jn �j/,qfl;:✓�'l�✓c.�.�✓I <br /> CONTRACTOR I APPLICANT: ��� <br /> Name: � �.�G/f�� ���'y�G ��vc»S�i��� /�� SS'�Z� <br /> Mailing Address: 7 ZU ' ,,�,�,�" . e�T City: ZIP: <br /> Contact Person: �.� ,�;� <br /> Phone: s2- 3S= o � A.✓-� 9 -Z�3-���y <br /> Q of„ <br /> Estimated Constr c ion alue$ /d� * *All work is to be done per IBC � <br /> ''�p�y�y u.(.�01� C.�S-f- � : �IS� <br /> PROPOSED SIGN INFORMATION: s �/ C����"' �lX- � <br /> Type of Proposed Sign: Size roposed Sign: Proposed Materials: Proposed Illuminatio : <br /> '� New Sign Installation Sign Face Length: � �c ❑ Wood ❑ Extemal <br /> ❑ Sign Alteration/ Sign Face Width: $� �� �FT ❑ Plastic � Intemal <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 /> !�� <br /> „�U�r-�� i. � .�r-� <br />