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� <br /> � � City of Orono ���� i <br /> Permanent Sign Permit Application <br /> MailingAdd�ss: Permit number: a��� <br /> O.¢,�,�.0 PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> � �: �^ <br /> ,� t;� �, Street Address: Received by: �1 r, <br /> '�,�, � �� �ti 2750 Kelley Parkway Permit Fee: $ <br /> t.y�.E$Hog� Orono, MN 55356 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ���� <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Site Address: f��S S�ittj� ��1/( .� I'j�,`(/� <br /> Street Frontage of Property ��'f-j � (feet) <br /> J <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> � <br /> ❑ Needs replacing Sign Face Length: �Wood (�External <br /> � l � <br /> �Needs Alteration/ Sign Face Width: � ❑ Plastic ❑ Internal <br /> ace Change �. <br /> Total Square Footage:—���� ❑ Metal ❑ Indirect <br /> ❑ Other(specify) I <br /> � �� Top of Sign to Grade:� ❑ Other(specify) ❑ Other(specify) <br /> _ � <br /> ��� ��y� � Distance from Bottom / <br /> of Sign to Grade: <br /> b �' <br /> OWNER INFORMATION: <br /> Name: ` <br /> Address: � ' �y: ZIP: <br /> Contact Person: � <br /> Phone: � . <br /> Email and/or Fax �y✓ <br /> CONTRACTOR/APPLICANT: <br /> Name: ��f►�{"f'K,� <br /> Mailing Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> DO <br /> Estimated Construction Value$ ��0�� * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> i <br /> ❑ New Sign Installation Sign Face Length: �,Wood �E�emal <br /> / <br /> �Sign Alteration/ Sign Face Width: � ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage:��` ❑ Metal ❑ Indirect <br /> ❑ Other(specify) , <br /> Top of Sign to Grade:�� ❑ Other(specify) ❑ Other(specify) <br /> � i � 1�1�J <br /> Distance from Bottom �/ � <br /> ��'�� of Sign to Grade: `7- <br /> A Minnesota State Electrical Permit is required if elecfrical work is proposed. <br /> � S�jw���� �s�.�'��- �S� �s �j�'i'^ <br /> � <br />