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s. <br /> � �ity of Orono <br /> Permanent Sign Permit Application <br /> �o� Mailing Address: RECEIV� Permit number: 07�1�'vv � <br /> O PO Box 66 / <br /> Crystal Bay, MN 55323-0066 Date received: � ! <br /> Street Address: �A� � 6 ����J Received by: <br /> y � 2750 Kelley Parkway Permit Fee: $50.00 per sign <br /> F �, <br /> � Orono, MN 55356 C1TY OF ORON <br /> ��'�fSH� � � <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: � � <br /> Site Address: ���S S�A�y�vDO� ��; �{ft'9 N �� <br /> Street Frontage of Property g p (feet) (� <br /> 7 <br /> Size of Existing Sign: <br /> , Existing IVlaterials: Existing Illumination: <br /> Sign Face Length: � �' <br /> f •� �� <br /> ❑ Wood ❑ External <br /> Sign Face Width: S '� �y <br /> f�Plastic �Internal <br /> Total Square Footage: �'Z,Z� <br /> ❑ Metal ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: ��idy��.,���c. �a„l< <br /> Address: ��'Ov �Ma�i�.e� l��vd G�/. .Sc,��te /!�D City: � .vr�,�a�D., ZIP: .SSy.3/ <br /> Contact Person: �o��/Q,, y(���.��s <br /> Phone: 9S 2- Z 8 3 - 37S 6 <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: /-� ��re�l.� Siy.+ Go . <br /> MailingAddress: 77�5 �Q,,,� ,�f �vF City: �,.��//�y ZIP: SSy3Z <br /> Contact Person: Sc.ot-� �a�,,,�a�tc� <br /> Phone: 76 3- 7.1`4+- Z�99 <br /> ** All work is to be done per Minnesota Building Code <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> i �� <br /> ❑ New Sign Installation Sign Face Length: �`(� '0 ❑ Wood ❑ External <br /> �Sign Alteration/ Sign Face Width: S �- 2- �y �Plastic �Internal <br /> Face Change <br /> Total Square Footage: .s�-��-`I ❑ Metal ❑ Indirect <br /> ❑ Other(specify) �d <br /> Top of Sign to Grade:� ❑ Other(specify) ❑ Other(specify) <br /> „ <br /> Distance from Bottom � 2 �� <br /> of Sign to Grade: r'�� �✓ � <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> March 2016 <br />