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Jul 22 2010 9;43 Ecl�ctic Spalon 9626481679 Pag� 2 <br /> , !�` I�� <br /> `_� �� <br /> City of Orono � � <br /> � Permanent Sign Permit A plication <br /> nreaina Addresa: - �• ��+� �� ��, <br /> ��� Po sox ea �M��►�'�N� ; f � <br /> Q � Crystal Bey, MN 66323-0068 � `��� � � , �� � ��1 <br /> ��o-�.f!r'7T'i { yT '��'t, �,i:; <br /> 1 _ w. . , � 1 u� <br /> iiA� .� <br /> 5breelAddreas: �e�i� �,:,,,,,,,���„.+ ,,..,�, , ���Gy„�;::;..�".'"' <br /> � � : �� , r1 �'� � <br /> �u <br /> �750 Kelley Porkway ��'��� ` � �." F.��:M � � ���,. <br /> � �' Orono, M N 6686e --- - - <br /> :�:.x.:.i„� <br /> Main: 982-Z48-4800 Fpx: 662-249�4616 ' `3�r' ��'::��.. '�� <br /> Thia applicatlon form muet be compleled In full and all nqulred Informadon must be eubmllted. <br /> Incomplete appllcatlona wltl b�returned. (Please p�int) <br /> GENERAL INF�RMATION; <br /> Slte Addreea: �3'�"] S' a Q� �'�pa� <br /> Street Frontage of Property ,i• (feety <br /> ExlatlnQ 91gn: �Iza of Exlstinp Slpn: Exl�tlnp Y►atalale; Exlatin�Illuminatlon: <br /> ❑ Needs replacln8 Slgn Face Length: D �1 ❑ Wood �Extemel <br /> � Naeds Albaratlon/ Sign Fem Wldth: 3 T �j Plaatic ❑ Internal <br /> F�ce Chan�e 1� <br /> � 7otel Squaro Fcotepe: a� T� ❑ Mvtal <br /> ❑ Other(epeclty) � �� ❑ Indirect <br /> Top of 8ign ta Gr�de: " ❑ Other(epeclty) ❑ Othor(specify) <br /> Dlatanoe from Bottom <br /> of Sign bo Ored•: . <br /> OWNER INFORMhTION: <br /> Name: I � Q� <br /> Addresa: � <br /> '> C Y� ��p: <br /> Contact Penon: � <br /> Phone: .7 �$ <br /> � Emall and/or Fax <br /> CONTRACTOR I APPLICANT; <br /> Name: _ � SGLMP� <br /> Me�IIInQ Address: '� Clty; ��p; . <br /> Contact Peraon: <br /> Phone: <br /> Eatlmeted Constructlon Velue� � • •All worfc Is,to be done per IBC <br /> PRGPOSED 610N INFORMATION: � <br /> 7Yp�of Propoaed 81gn; Slza ot Propavd Sldn: Proposod M4terlalr Propoead Illuminatlon; <br /> ❑ New Sign In�talls6on Sipn Face Lenpth: g T'f" ❑ Wood � E�@rnal <br /> [�Slgn Alteratlon/ Sign Fe�e 1Mdth; � �'r (� Pleatic ❑ Intarnal <br /> Face Chan�e <br /> Total Squere FootaQe:—...�L�_L ❑ Metel � ❑ Indlr6Ct <br /> ❑ Other(opecify) <br /> � Top o(Slgn to Gr�de: V' � � � Other(apecJfy) ❑ pther(epeClfy) <br /> Di�tenoa from 6ottom UI Y1 (�-�, �0 ktc.l'► <br /> cf Slgn to arede, <br /> A Mlnnesota State Elactrlcal Permlt/a requlrad/f electrical wark la proposed. <br />