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. City of Orono Permanent Sign Permit Application '�O,�`;�•\ Mailrng Address: Permit number: O .>— ��3 � 'wO PO Box 66 0 ,. Crystal Bay, MN 55323-0066 Date received� � — s � `' � ` Sireet Address: Received by: �j� ,� :, 2750 Kelley ParkwaY g (� . `'/� Orono, MN 55356 Permit F6e: Z • �3 ��kF�i40�"Y.: �.�y�i Main: 952-249-4600 Fax� 952-249-4616 www.ci.orono.mn.us L '�''�`y ��9//S� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � ,� +, Site Address: �� , � �� Street Frontage of PropertY � (feet) 0 2} - u �- i OV1 Existing Sign: ize of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign FaCe Length: �0 � ❑ Wood ❑ External �Needs AlteraUon/ Sign Face Width:_ �,� ❑ Plastic ❑ Intemal Face Change Totaf Square Footage: aS S� ❑ Metal ❑ Other(speCity) ❑ IndireCt Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Oistance from eottom of Sign to Grade: OWNER INFORMATION: Name: Address � r _ .., .�,lr, , , . � � City: ZIP: Contact Person: - � i^.� �, � v �� ,r, Phone: IS�, �� I 7<Cy Email and/or Fax - CONTRACTOR/APPLICANT: Name: !,, Mailing Address: City: ZIP: � "� Contact Person: • Phone ; � Estimated Construction Value� L�G.W.� � 'AII work is to be done per IBC PROPOSED SIGN INFORMATION: Type oi Proposed Sign: Size of Propoeed Sign: Proposed Materiats: Proposed Illuminatton: ❑ New Sign Installation Sign Face Length:�� ❑ Wo4d ; ❑ Extema� i Sign Alteration� Sign Face W�dth: S� � ❑ Plastic ❑ Internal ace Change ` ;� Total Square Footage:� ❑ Metal � ❑ Other(specify) ❑ Indirect Top of Sign to Grade: � ❑ Other(specify) ❑ Other(specify) Distance from Bottom � i of Sign to Grade: I A Minnesota Siate Electrica/Permit is required if elecirica/work is proposed.