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City of Orono <br /> Permanent Sign Permit Application <br /> O Mailing Address: Permit number: .���'�t��" C f r� S <br /> PO Box 66 <br /> � 0 Crystal Bay, MN 55323-0066 Date received: 1 �1-%Z.l_ )C,; <br /> � a <br /> Street Address: Received by: �.�'�C�I <br /> 5� � 2750 Kelley Parkway Permit Fee�/ $ <br /> F L. <br /> t �� Orono, MN 55356 fh <br /> �kfSH� `/�� (� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / 7 Q' � I <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (P/ease print) <br /> GENERAL INFORMATION: <br /> Site Address: ���O ��Q,(�U\�;� �` ��\(��("'� <br /> Street Frontage of Property � (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> �Needs replacing Sign Face Length: ❑ Wood �J External <br /> �„ <br /> ❑ Needs Alteration/ Sign Face Width: ❑ 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 /> OWNER INFORMATIO : <br /> Name: <br /> Address: City: � ZIP: r" "— ' � I <br /> Contact Person: �;['� (����5� <br /> Phone: �(�._ -���— �t{ � I <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: � <br /> Name: � � , S� ' � n � <br /> Mailing Address: J-�� 3 � � � fi � �� City: (� y�� ZIP: � � <br /> ContactPerson: �j����� ��M�� -� <br /> Phone: ��� - �i�Uj .. CjUj�'� <br /> Estimated Construction Value$ 1� � ��.�V� �� * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: � (,� ' � � � 'i <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> � New Sign Installation Sign Face Length: ❑ Wood � External <br /> � Sign Alteration/ Sign Face Width: ❑ 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 />