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<br /> �19/d212612 13:40 61220B1TT9 YOUR HOAT CLUB PAG� 03
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<br /> P�acman.e�n�.Si.g:n� P�rrnit,Ap.p�lication G
<br /> , � J�' Mellln�.4dd�ess: , ,
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<br /> - , �4ete receh►ed:. �D-1 a;_� .
<br /> , � � � StreetAddress: R�aelv�tl,by, .
<br /> � 27a0 Kelley,Parkyua � .
<br /> Oron y' � . PetmltsFee:, , ��, �� �', , . ". .
<br /> v�iulN 36386 �� , � ,.;s�,•�
<br /> � MQin, 952-249-4600 F�X: � ' • � � ' � �•
<br /> This a ��24a-4616 �"0�' .[�amo.ua , , � � , ' , , .' � •. '
<br /> ppi�car�on.fonr� must be oampfeted In�ull�nd all�q uired informatlon mu�t be submitted,
<br /> Incomplet�app�ic�tlons w111 ds roturn�d. (P/�ase print)
<br /> �P1@RAL INFORMATION: •
<br /> tte Addti��:
<br /> tr�et FronEepe of Propercy '
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<br /> _, l�acla ng,,�8�, 81zo oF Exteti � , f,�,�:..,,:
<br /> ` � ' 48 . ign: Exl �A�Ms6ar�Als:` Exls,Hn�,111umin�ticn:
<br /> Needs replecln , 81pn FaCe_Length�, qC��+� ' '
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<br /> k , , . . _ � EriernAl _'�:'= _ s
<br /> �ed�A�te�tion/ Slp�Faco Width: 4f��
<br /> Fe0@ Change e8tic � ' ' ❑ Intemal .
<br /> ,.O��r(spsc(!yj . . , Total 8qu�c�,FootaB�,�' , �.Met�t � , _ ' � �
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<br /> � ER IN�QI�MA��ION;' . , _
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<br /> NTRACTOR J APPLICANT;
<br /> N-'me: � ,
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<br /> C nE�ct Person: . Clty: ZIP: �
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<br /> � mated Construetion Velus���(5. *q���yo����b�dono p�r'iBC
<br /> � PO$ED SIGN INFORMATION� � .
<br /> '' Ypo n: 9tz�oY ropo� 1 • • .
<br /> �9�roposad Maberle s: Propc�o Illumination:
<br /> aw Sl�n Inetall�tion � e `n Fece x��^ �y
<br /> �9 �.ength• - 1. Q Wocd , .
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<br /> fp[t/�tA1�atIoA/ Sian Fece Wldth: �tiC ,
<br /> CSY��temel 1-��.�-x(?�'� a�wal,e
<br /> � ' � Totsl Square Foc�qi e: ' '
<br /> Q,!Ott�er(apacify) —�� ❑ Metal . � Indlroo!'� • .'
<br /> �-,,� , �: ` Top vf 9i�n to Or�ds;___��� ❑ otr,��epeaty� Ccner�sps��YJ . _ �
<br /> .� �. .. oistanoe iro .�. .
<br /> ' m eottom /� ,
<br /> � , ,:,_ 'vf 9ign to drade; ,v��� -�
<br /> M' � s: ' . . I,AtiKOl�l
<br /> A M/nne�ota State���ctrlcal P�rr�Jt la��e�ul�+ed lf e/�rtrica/wo�k/�•p�opo,sed ., s�� _
<br /> bi�..,54 �' ����YI.. . . , . . ., . �� 4� •
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