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, <br /> City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: p $—� <br /> 0 O <br /> � � PO Box 68 <br /> Crystal Bay, MN 55323-0066 Date received: ,yC��2(v / <br /> � � <br /> Streef Address: Received by: <br /> ti � 2750 Ketley Parkway Permit�ee: $�fl-00 per sign <br /> `� L Orono, MN 55356 <br /> �9KFs N o��' <br /> Main: 952-249�600 �ax: 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 app{ications will be returned. (Please prinf) <br /> GENERAL lNFORMATION: <br /> Site Address: �����jr����i��E e (�(,�;G� � <br /> Street Frontage of Property (feet) <br /> Size of Existing Sign: <br /> Existing Materials: Existing Illumination: <br /> Sign Face Length: �� <br /> � � � ❑ Wood ❑ Extemal <br /> Sign Face1�ClUth: <br /> � }s'h� ❑ Plastic p'�Intemal <br /> Total Square Footage: z/� <br /> �Metal ❑ Indirect <br /> Top of Sign to Grade: ��; <br /> ❑ Other{specify) ❑ Other(specify) <br /> Distance from Bottom l� f <br /> of Sign to Grade: <br /> OWNER INFORMATION: r � � > <br /> Name: �,� <br /> Address: ��� C �yQ�7 p City: , ZIP: <br /> Contact Person: � �, �.� ^ <br /> Phone: /,�— �� zt^ �F� <br /> Email and/or Fax ��t';��,�,,�. p.��,�,,,�d4'dh QI ;..-_���.I� , c��� <br /> CONTRACTORlAPPLtCANT: <br /> Name: y�t/y! L l�`/t' �'S�YI�L.�.-� �y►c <br /> Mailing Address: �� a -7 0;,•�-�Y, �Y City �o�,,,,�, ZiP: �3 Ejj� <br /> Contact Person: `��.�- L�y�,�»�,� <br /> Phone: _�1.2_ `�SY_ rf'y�-�1 <br /> **A!I work is to be done per Minnesota Building Code <br /> PROPOSED SIGN INFORMATION: <br /> Ty of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> � New Sign Installation Sign Face Length: /'j ❑ Wood � Externaf <br /> ❑ Sign Altera5on! Sign Face Width: � ❑ Plastic ❑ Intemal <br /> Face Change /�Pi�/i.�`' �� <br /> Total Square Footage: [,�Metal ❑ Indirect <br /> ❑ Other{specify) / ��� <br /> Top of Sign to Grade: . �� ❑ Other(specify) ❑ O#her(specify) <br /> Distance from Bottomf� i�,y <br /> of Sign to Grade: <br /> A Minnesota State Electrlcal Permit is required if elecfrical work is proposed. <br /> March 2096 <br /> �L-�i0�if�►d�1 Y✓'6�,6 <br />