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, <br /> � <br /> , , <br /> City of Orono <br /> Permanent Sign Permit Application <br /> O Mailing Address: Permit number: o�b/ - 1�! <br /> PO Box 66 <br /> � � Crystal Bay, MN 55323-0066 Date received: �b ' � �✓/ <br /> Street Address: Received by: <br /> y � <br /> �, G� 2750 Kelley Parkway Permit Fee: �� $50.00 per sign <br /> t �, Orono, MN 55356 <br /> qkfSNO� ' <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 /> SiteAddress: � �;�'yS J,�1�-Dy�v[.�G� KD. , UKUti'v, ,U,�,� � ; �;�c�.� ������ <br /> Street Frontage of Property j�rq p��p R� (feet) <br /> Size of Existing Sign: <br /> Existing Materials: Existing Illumination: <br /> Sign Face Length: <br /> ❑ Wood ❑ External <br /> Sign Face Width: <br /> (�Ji*`'; <br /> ❑ Plastic ❑ Internal <br /> Total Square Footage: ; <br /> ❑ Metal ❑ Indirect <br /> Top oF Sign to Grade: <br /> � Other(specify) [� Other(specify) <br /> Distance from Bottom ,�,,..l,�,sc�.��t1 �p ��,,,�E G�sE,v�tL �G�T�NG-��j'�y� <br /> of Sign to Grade: � <br /> 13 vw�v �vs�rG ��,c�,���aN. '; <br /> ;� <br /> OWNER INFORMATION: �� <br /> Name: �rll D[��cva-r��2 �Nt� <br /> Address: � 2g�M�►Z1Gi4iV T3LUl7, tv�ST- Sc,iyEdia.��tY-�La�,vr/NGTat% ZIP: <br /> Contact Person: ,��D.4nJ R vTFfS <br /> Phone: ��12 �6. ��(05'- ' <br /> Email and/or Fax 7n��� ��5� fj�,.��.j��. Cai� <br /> CONTRACTOR/APPLICANT: <br /> Name: ��8�c,�r Srvti C�tir�.-t.� �ti'G- <br /> MailingAddress: 77�5- ,"iqi,v ST. nl.�. Clty: ���p��/ ZIP: SSy3Z <br /> Contact Person: f <br /> Phone: tolZ � 7D�. S"Lf 5H ���--�- <br /> ' Pc.v�dPrSo��ai.hr-s�G'vr-f.Sivn�UM u��� C�/�;� <br /> ** All work is to be done per Minnesota Building Code <br /> PROPOSED SIGN INFORMATION: ='=� :`%=-�'``�L;^�✓!;� , <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> � New Sign Installation Sign Face Length: �5 -`"�� � ❑ Wood ❑ External <br /> � 2 `c T:� r <br /> ❑ Sign Alteration/ Sign Face Width: Z -� ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 3S�'��N � Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade:l:-�s'-�� " ❑ Other(specify) ❑ Other(specify) <br /> z= io'-8 ,�„ �q <br /> ft�//'���,� N ` I �"�17f��i�'`_; '/,;_� <br /> Distance from Bottom 7, 3kU5f,�EC _ <br /> of Sign to Grade:l= . . --- "� <br /> - . , c��;N� �wt �ti puR S«P�• <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> March 2016 <br />