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�,�,��,�► ��1��� �" City of Orono <br /> �r'�-, ���,���1�'���;�i <br /> �,��� -�� �,� Permanent Sign Permit Application <br /> Mailin Address: � <br /> g Permit number: �C --OG>/�/ <br /> O�,�,�.0 PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: � �� �� � <br /> ��"� '- Received b I �1 i _ <br /> a '�'�� '' F Street Address: y� �V � <br /> �' ti� ����;�'9'�" ti 2750 Kelle Parkwa $ <br /> �1����`tv° Orono, MN 55356 Y Permit Fee: � <br /> �xESKos�' <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomptete applications will be returned. (P/ease print) <br /> GENERAL INFORMATION: 1�� �����c � <br /> Site Address: l � . <br /> Street Frontage of Property �' f (feet) <br /> Existing Sign: Size of Exis n ign Existing Materials: Existing Illumination: <br /> t <br /> ❑ Needs replacing Sign Face Length: ( �Wood �External <br /> 1 1 <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change L� � <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> Other(specify) 1 f <br /> _� , �`�u � Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> �f W I�GKJ �� <br /> Distance from Bottom � �� <br /> of Sign to Grade: <br /> OWNER INFORM ON• • <br /> Name: � � �C � f L„ ('S.� !/`�� <br /> !/J 7 U <br /> Address: ` r ��,� � <br /> Contact Person: e �,/ �^""/ _� Q, <br /> Phone: �%✓��%2�/` G�� <br /> Email and/or Fax ���A��A � ��S 1 � <br /> ��� <br /> CONTRACTOR/APPLICANT: ��V " <br /> Name: �� �Sb� S� 1�I�S � <br /> Mailing Address: < �tp <br /> Contact Person: �_�'j' ��� G �' <br /> Phone: (��_�b , • '��}14 <br /> Estimated Construction Value$ �'S. �� " <br /> PROPOSED SIGN INFORMATION: <br /> 1 �2��D <br /> Type of Proposed Sign: Size of Proposed Sign: tion: <br /> New Sign Installation Sign Face Length: �D� ❑ Wood External <br /> I <br /> ❑ Sign Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change 'Q'� C / <br /> Total Square Footage: V l • J � Metal ❑ Indirect <br /> ❑ Other(specify) / <br /> Top of Sign to Grade: •�S ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom� �� � <br /> of Sign to Grade: � <br /> A Minnesota Stafe Electrical Permit is required if electrical work is proposed. <br />