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,. - , , <br /> City of Orono <br /> Permanent Sign Permit Application <br /> �'` M8iling Address: Permit number: o�OI3 — D d��fp <br /> ,��TO PO 8o�c 66 � <br /> �' Cryata�Bay,MN 55323-OOG6 Date reoeived: 7-/7-/3 <br /> SUeCt Address: Received by: _�)/1� <br /> ;.� �' 2750 Keliey Parkway Permk Fee: s <br /> �I�KFSNOQ'EG Orono.MN 55356 ��� <br /> Main: 952-249-4800 Fax: 952-24&4b1fi wvrw.a.orono.mn.us <br /> This appiication form must be completed in fuil and all required informatio�must be submitted. <br /> Incomplete applicatlons will be returned. (Please print) <br /> GENERAL INFORMATION: �f g <br /> Site Address: �,j 1 � ��C1CtG��J�h',��5 �T�? -- <br /> Street Frontage of Property � ��-� (feet) _ <br /> Exlstln9 Slgn: 3ize of Existing Sign: Exiatinq Mate�ials: Existlng Illumi�atlon: <br /> i; <br /> ❑ Needs re�lacing Sign Faoe Langth: ❑ Wood ❑ Extemal <br /> t7 <br /> Needs AReration/ Sipn Face Width: ❑ Plastic ❑ Intemal <br /> ace Change <br /> Totel Square Footege:�� ❑ Metal � Indirect <br /> ❑ Omer(saecity) �► <br /> Top of Sign to Grade:.�_ � Other(specify) ❑ Other(specily) <br /> 1 Distance from Bottom (a �� i )r 1��1-- <br /> of Sign to Grade: � <br /> OWNER INFORMATION: 8 <br /> Name: �Pf�f�,�� a►'1GL.n� <br /> Address: 5 3 3[ C�'� -- r <br /> concactPerson: Dc�c�-� � <br /> Phone: ��'i) Ll CX7 - 4.s�ci�3 <br /> Email andlor Fax <br /> CONTRACTOR/APPl.ICANT: <br /> Name: _.�`r�% ;-�'�'- ,- <br /> Mailing Addresa: -�'�f=��,� '�t�,.� ,. y�, ., C�y: l.\,d i.i�ci1'r5 ZIP: .��'��'r 1 <br /> Contact Person: ' • <br /> A__�°ei. �'ri ll1�. <br /> Phone: �15�3 �-i� t r����i <br /> Estimated Constructiori Value S � ���c,.: ' 'Aii work b to be done per IBC <br /> PROPOSED SIGN INFORMATiON: <br /> 7ype of Propused Sign: Size of Propoaed Sipn: � Propaead AOa�tlsls: Propoaed Hlumination: <br /> '� ) <br /> [I New Sign Insta�letion Sipn Face Lenpth:� �r�� � p wood ❑ Exflamal <br /> �, I <br /> Sign Alteration/ Sign Face Width� ! ❑ Plastic ❑ Intem�! <br /> �Face ChemgE � <br /> Total 5quaro Footafle: O� �Mebl ❑ IndirBCt <br /> ❑ Other <br /> (��� Top ot Slpn to Orade: �� ❑ Other(speafy) ❑ Other(specify} <br /> Distan�from Bottom " �� <br /> of Sign to Grade: <br /> A Minnesota State E/ectrfca/Permit is requlred if electrica/work is proposed. <br />