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. City of Orono C��v�c��b�
<br /> Sign Permit Application
<br /> � Street Address: Permit# C�Od�'-/-j,D l��
<br /> ,�•� 2750 Kelley Parkway Date Received: /� y-� 9-O j
<br /> y" � � Orono, MN 55356 Total Fee; Xf',3� �,7� .�
<br /> O O Staff: �� � �,�"
<br /> '� � Main: 952-249-4600
<br /> Comments:
<br /> �, ;' ii y�r �1 fax: 952-249-4616 �pp �
<br /> �t� ' ' ��,/ Mailing Address: ��� � `�^�'
<br /> ''k E g'E t p�� P.O. B o x 8 6 �1 t�' 7 1��C V
<br /> � Crystal Bay, MN 55323-0066
<br /> This application form must be completed in full and all required information must be submitted. Incomplete appiicatlans
<br /> wiil be returned. (Please print)
<br /> GENERAL INFORMATION:
<br /> Site Address: ��/SS� �►a�u�vc�c� �cx�r� , /lkt r�,Q.,Q..e�l3'LI'v �S3 r�
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: �. Q "
<br /> State License# _— �a eS�, 1 I13 Expiration Date: ��4.
<br /> Phone (Office): y�..s-�S-4/a3 Phone {Cell); (1�.-d$1-$/JS'
<br /> Mailing Addres�: 6r&� o �U r�e.�c,�.�a( l��!-,ih;�nKaaal�s,r+a� s.s�iaa
<br /> Email: ��,'s�;� ;,-�Qa� �a�;�,c.�,.. Fax: � -s S- ��
<br /> Contact Person —� Applicant is: racto Homeowner
<br /> C.�i��s�i �. n _ C> ' one
<br /> —v—
<br /> PROPERTY OWMER INFORMATION:
<br /> PJame: . �.r,�!c. ,�
<br /> Phone (home�: a- Phone (wor4c): S -5� - �
<br /> Address: e
<br /> Email: r� ,� .c�,. Fax: �t sa- Y7 f -OY9L
<br /> PROJECT IPJFOF�MATIOPI:
<br /> 1.Work Int�nded 2. Propos+�d Slgn#N 3. Proposed 31gn#�',. 4. Slgna to be Removed:
<br /> �'7i:�.i �. ..,.:,,.`;�� , t� {�c.)/}l,-i..- ` ��
<br /> Slgn Installetlon S1gn Face LenQth: �o Sign Face Length: 7 v� Number of Signs:
<br /> ( Temporary Sign(flat fee) Sign Face Width; � Sign Face Width: i� �I"
<br /> (] Sign Altemation/ Total Square Footage: Total Square Footage: !� s ,�-� Square Footage: .�--
<br /> Face Chanee Top of SIQn to Grade: ' '` Top of Slgn to Grade: ? -'r '�
<br /> Distance ftom bottom of Sign to Diatance from bottom of Sign to
<br /> Grade: a�G�� Grade: �,�� T��Q� AQ�
<br /> Matorlals: Matrrfals: C���a� �v � 5
<br /> ��
<br /> []w� �. ��woo� o.� {-�,,�e P
<br /> P�ast�c-��, �� ; � ,���. �c ,��c��,rr,�
<br /> �aa�xr�e,ac11�.c �PlastJc+ '�;�i ,,
<br /> AAetal-AI ��^" �Metalia!- ��;:ti , �5'�'% 5���
<br /> Other�i el� S�r�n-- [J Othar �.,,,e�
<br /> [] N/A (]N/A �.S ,b r^�'�c
<br /> Illuminatlon: Illumin�tlon:
<br /> IJR���z.:ft.���
<br /> [j Extemal ()Extemal
<br /> Intemal [J Intemal
<br /> ] Indlract (]Indirect
<br /> (] Other (�Other
<br /> (j N/A �M/A
<br /> P�.EASE M�OTE: A Minn��Q#a State Elec#ric�1 P�rrrait l� re uir��! lf �l�ctri�al work i� ro �o��d.
<br /> �Fle���c�'�.5e w��l be �' �) �ca( hm � --fh.� ev;rl s�b.1.
<br /> :$tlmatad Co�t: (All work i� to be done per UBC) �a I �.��= " Alllnlmum permit fgs 9 $35.0�
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