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1 r d <br /> � t <br /> ty • <br /> City of Qrono <br /> Permanent Sign Permit Application <br /> a /�� Mar7ing Addresx <br /> rO`►'O p0 BoX 66 Permit wumber: D/3-CTQ S l <br /> Crystai Bay,MN 5�323-o066 Date receivec3: �p-/ - <br /> a ,, Stieet Addrass: Received t�y: <br /> � y��R �.�` Oror►o M�N 55356 Y Permil Fee: � � � <br /> KFS�o� <br /> Main: 952 249-4600 Fax: 952-249-4616 www_ci.orono_mn us <br /> This appliqtion form must be compteted in full and ali required informa6on must be submitted. <br /> incomplete applicadons will be returrted. (p/ease prinf) <br /> GENERAL lf�FORMATI�N: <br /> SiteAddress: f`� � �r ��i�CZI�'L�^ .�/�fUG-^ <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size oE Existing Sign: Existlng Materials: Exlsting fBuetinatior�: <br /> ❑ NeedS replacing Sign Faoe Length: � wa� <br /> ❑ £xterr�el <br /> ❑ Needs Alteration! Sign Face Width; ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: ❑ Nletal <br /> ❑ Other(specify� ❑ fndfrect <br /> Top of Sign to Grade: ❑ Oiher{speafy) � Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATIDN: <br /> Name: ..� G-1't1 <br /> Address: ._'`'.Lc��l Q�,,. �, ��nn-, City' �/Zv,�p ZIP: � <br /> Contact Pers�: •� , <br /> Phone: <br /> Email and/or Fax <br /> CONTRACTOR 1 APPLICANT: <br /> Name: "'L �L? t,�,� / �r`� , f.�L <br /> Mai�ng Address: <br /> Conbct Person: ���,�, i�'+�re�v�-_ Cify: , �l,.u,� ZIP: 3� <br /> Phone: , <br /> ' - /� - o-- S S-� ,� <br /> Estimated Construction Value�C>O"`� • •All work is to be done per IBC <br /> PROPOSED SIGN RNFORMATION: • <br /> �� �� 5 S� <br /> Type of Prop�ed Sign: Size of Proposed Sign: Proposed Materials: p <br /> � "qposed tllunination: <br /> ��IewSign lnstallation Sign Face Length:��� Q yyopd �]'Ex�emal <br /> ❑ Sign Alteration/ Sign Faae Width: r <br /> Face Change � ❑ Plastic Intema( <br /> Total Syuare Footage:�_ [] ��� ❑ lndirect <br /> ❑ Other(specitY) <br /> Top of Sign to Grade:f� ❑ Other(specrfY) ❑ Oiher(sPecifY3 <br /> Distance from 8otto i �� <br /> oF 5ign to Grade: / <br /> A Minnesoha State Electrical Permit is requirsed if electricai wark is proposed <br /> �� �rn�� <br /> 6'd 6£9Z-659-£9L �u� �eoia;osl3 '�'W'S dOZ�ZO £6 £l U�f <br />