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s R.a <br />� , '., , <br /> City of Orono <br /> Permanent Sign Perm�t Applica#ion <br /> ���j ��g Add�: <br /> a PO Box 66 f'emtit number: I � _�S <br /> Cryslai Bay.NW 55323-0086 �abe r�ceived: —/ � <br /> s, � Streef Addr�ss• ��y�by_ <br /> � �"� � 2750 KeJfey Parkway <br /> r' �h"esHa��' Orono,lIAN 55356 • PermiE Fee: $ <br /> -�_ <br /> Main: 952-249-46pp Fax: 9S2 249-4616 <br /> This a i' •c'oro o. _�S <br /> DP�cation form rriust E�e completed in fulf and aU required ir�formation must be submitted. <br /> 1r�aompletie applications will be returrr�ed. (PJleay.e p�t) <br /> GENERAL INFORMATION: <br /> Site Address: _I y��L/ ,q/ _ z(�� <br /> Street Fronfage of Property r `��t� D/li //_'- <br /> (teet) <br /> Existing Sign: 5ize of Ex <br /> �''�S�°� Existing Mabarials: <br /> Existing fllumination: <br /> ❑ Needs replacing Sign FaCe Length_ <br /> � WOOd ❑ Extemal <br /> ❑ Needs Alieration/ 5ign Face Width: <br /> Faoe Change ❑ Plastic . <br /> Totat ❑ Intemal <br /> � bther(speafy) S4uare Footage:�� ❑ Metal <br /> ❑ Indired <br /> Top of Sign to Grade:_,�`� � pq�er s <br /> f Pe�ify) ❑ Other(specifY) <br /> ��stance Garn Bottom <br /> af Sign to Grade: <br /> O�NNER I�VFORry�A7FON: <br /> Name: ---, � <br /> Address; �r� <br /> � � ''�, City: <br /> Contact Person: �p: . <br /> Phone: <br /> Email and/or Fax <br /> CONTRACtOR/APPLICAN7: <br /> Narne: -�� � r, <br /> Mailrng Address: L � ��� "��� <br /> Corrtad Person: �" C�= - �dcma-- ZiP: �, - <br /> Phone: 'm'�w`��- <br /> ^ `�` ' - 1a/� - o-- S S� <br /> Estimated ConstrucGon Value p"`� . <br /> *A!!wark is ta be dp�e per IBC <br /> PROPOSED S1GN INFORMA710N: <br /> TYPe ofi Proposed Sign: SLse qf Proposed Slgn: pro <br /> �.� Posed Materlals: Proposed Itfumination: <br /> �hlew Sign Installation Sign Feoe Lengil7: � <br /> ❑ wood p E��� <br /> ❑ Sign Alteration/ � <br /> Sign Face II►rdth: <br /> Face Change ❑ Plastic Intemal <br /> Total Square Fooiage: � <br /> D Other(speatyJ � p Metal ❑ �ndi�,ec;t <br /> Top of SigR to Grade• `,/� �t !�'! <br /> '--L�--�L Q Other(spea€y) ❑ Other(speafy} <br /> Distance fnprn Bottom y/ <br /> pf Sign fo Grade: ,{p' <br /> A Minnesota Stai�e Electric�/P�it is required if electrica!work is PropoS� <br /> � �- I�a,rson <br /> 6'd 669Z-699-E9L �u� �eoia�el3 '�'W'S dZZ�ZO £L El u�f <br />