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� r � �/�(� <br /> • � �� City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: p'`�O10--DD.3.S'J� <br /> O.¢,�,�.0 PO Box 66 Permit number: <br /> �� <br /> Crystal Bay, MN 55323-0066 Date received: � /D <br /> � ��-:;' �, Street Address: Received by: �� <br /> ��"� . <br /> ,�, � �:�1� �titi 2750 Kelley Parkway Permit Fee: $ • � `— <br /> L9kESH0�`'� Orono, MN 55356 D ;� �G��� <br /> -- / <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � �(� <br /> This application fo�m must be completed in full and all required information must be sub itted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: a <br /> Site Address: z,j7 7 �$/�f+��yu.�ov(� ��?�',� <br /> Street Frontage of Property lfeet) <br /> . � <br /> E ting Sign: Size of Existin Sign: Existing Materials: Existing Illumination: <br /> � <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> �Needs Alteration/ Sign Face Width: / ❑ Plastic ❑ Internal <br /> ace Change <br /> Total Square Footage: ❑ Metal ❑ I�direct <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance frorn Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: � ^'/ i <br /> Name: /�i� �Sf�f��.Z/✓ ��A�i N Co,�'�'�t� �l����,T-��i✓c.r/,c��'�tl <br /> Address: -2377 sf1l�r�l�w�i� �'^- %� City:o2v�/� ziP: 5,53�C <br /> Contact Person: A�,�,� �j t/t,e�,'Ny <br /> Phone: �52-i�'7/-�U`�� <br /> Email and/or Fax �Jq,'/� A/7,99;:✓✓y/�►!c���✓I <br /> CONTRACTOR/APPLICANT: / ,y��/ r7 �/ <br /> Name: � ���/�/ �,eflyll7C.. �1:��7cf��S f��� /��!' S S��(� <br /> Mailing Address: 7��,,j,�' �`j City: ZIP: <br /> Contact Persorr: �� ,�O'j;�� <br /> Phone: �ISZ- I�3S= v � �,►�-� 9�2-Z5 3-��7y <br /> C� �'i <br /> Estimated Constr�c ion alue$ J d� * *All work is to be done per IBC .� <br /> PROl�OSED SIGN INFORMATION: S �CL/ C;JIIJI' �1.�tV�l. �S� ���Q, � • �� <br /> Type of Proposed Sign: Size roposed Sign: Proposed Materials: Proposed Illuminatio : <br /> '� New Sign Installation Sign Face Length: �� �tcF j� ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: g� �� �FT ❑ 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 /> t�� <br /> ���� <br />