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�`�°�7- �v City of Orono Permanent Sign Permit Application y.� Mailing Address: /�v�' PO Box 66 Permit number: �/ _ Q��Dv �� Q Crystal Bay, MN 55323-0066 Date received: /Q — _� ��' �, F Street Address: Received by: �� '�' o'` 2750 Kelley Parkway O/-� ��EsBog'�' Orono, MN 55356 Permit Fee: $ � v Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Site Address: �'yLfc� s� J, o//��L �,/ Street Frontage of Property (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External ❑ Needs Alteration/ Sign Face Width: ❑ Plastic Face Change ❑ Internal Total Square Footage: ❑ Metal ❑ Other(specify) ❑ Indirect Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: ,%�/ �o� ��✓� !�� , � � o/ o--c, .--' "� Address: �� s �---�� S� �� Cit : Contact Person: y �''�01�' Z�P� S�s�oz � ✓ ��—� �-- Phone: �jd�. r�,6��87� Email and/or Fax CONTRACTOR/APPLICANT: Name: s-�� Mailing Address: City: ZIP: Contact Person: Phone: � o�o Estimated Construction Value$ �5 �!� � * * All work is to be done per IBC PROPOSED SIGN INFORMATION: �J Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: ✓ , � New Sign Installation Sign Face Length: �� `7� � Wood � E�ernal ❑ Sign Alteration/ Sign Face Width: �a ' �� ❑ Plastic Face Change ❑ Internal Total Square Footage: � � ❑ Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade: � ❑ Other(specify) ❑ Other(specify) Distance from Bottom� � of Sign to Grade: A Minnesota State Electrica/Permit is required if e/ectrica/ work is proposed.