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. � t �C i�y ofi �ro n o Prermanen� Sign �Rerm� Appiica�ion tt7�aiiingA�d�`e�'3: �== -' Permit number: O//— �Y 7� ��.¢,�,�.\ PO Box 66 I + � � �*` �#�I �,,Mla!-553��-94�a�. �.��eiu�a (�,� �f� :-. �,�l Street Address: I Received by: '�, �: �tih� 2750 Kelley Parkway Permit Fee: $ �l9k�o4.�j Orono, MN 55356 �, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and alf required information must be submitte Incomplete applications will be returr�ed. (P/ease print) GENERAL INFORMATION: � �_��: � �s5 S�,v�I «.� �,� ;v� 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 ❑ Intemal Face Change Total Square Footage: � Metal ❑ Indirect ❑ Other(specify) -�, Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) 1 ��:,. �, Distance from Bottom of 5ign to Grade: OWNER INFORMATI� ( Name: � �V� ,��'iv� [<.�A�G� Ad dress: C ity: Z I P: Corrtact Person: � •-� Phone: (�ja�- " (p 4, �"`� Email and/or Fax CONTRACTOR/APPLICANT: Name: p � �,� �y Mailing Address: �2� � �- �}-� City: �In,pt "_ ZIP: �;�2� Contact Person: '"I��h,l Phone: (n f 1 � `��2� — (o� c�--�(��(QI Z --rdl�7 - �'Z�� C.r Estimated Construction Value,��f1�'Z " "All work is to be done per IBC PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: �New Sign Installation Sign Face Length: F a f ❑ Wood ❑ Extemal ❑ Sign Alteration/ Sign Face Width: � � ❑ Plastic [�ntemal Face�hange Total Square Footage:�� Metal ❑ Indirect ❑ Other(speciry) t Top of Sign to Grade: � ❑ Other(specify) ❑ Other(specify) Distance from Bottom � f of Sign to Grade: A Minnesota State E/ectrical Permit is required if e%ctrical work is proposed.