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� � ° - �t js�.�s <br /> � �, <br /> ,(7 For Staff Dse Only <br /> rr��=���. City of Orono � �j „�.�;ti <br /> /Oi.C�d�t��� Q' Date Received �. ';''�'� <br /> �j P.O.Box 66 <br /> �� 2750 Kelley Parkway Permit# �_ <br /> ,� J Building Approval: � <br /> ��, �� � Crystal Bay,MN 55323 Zoning Approval I� � • <br /> �� oa~ 952 249-4600 `'� <br /> � � Zoning District: <br /> � 0 <br /> CITY OF ORONO- SIGN /GENERAL PERMIT <br /> (All permits must be approved by the Building Official and the Zoning Department) _ <br /> Job Site/Owner Information <br /> ���,�� r�c...� CcFc=�__._. <br /> Site Address: �3 3� S� .Q�� a� ��1f�-� +��-- Email: <br /> Owner: � ' �� , Home Phone: <br /> Mailing Address: �j UC� (.� �=�` `-i� � �r ac; Work Phone: y��2 -�/����Dy <br /> City, State,Zip: � ; ' , � )-� ; _ .�- t{ � t/ Fax: <br /> Contractor/Applicant Information <br /> Contractor/Applicant: �, r ti t.�;• State License#: (�'r�(> / /��. <br /> Address: �� / ' p d�,/ Expiration Date: <br /> City,State,Zip: ����� /'YIN ����LL1 Contact Person: 1�_�_�� c��--- <br /> Business Phone: (� j/- ( � �� b�� 3 Contact Phone: �,� ! - %,$� -�_-��Z,.-3 <br /> Fax: c;,, 5 I C_; �5��5� ,--��, ,s�'f Ematl: <br /> PermiY T e &Si n Information <br /> _�� <br /> All work is to be done per UBC Estimated Cost $ �,� �+.%L' *Minimum permit fee=$35.00 <br /> Work Intended: Sign Installation: _;�Sign Alteration/Face Change: <br /> (Check One) Temporary Sign: _ (Flat Fee) Dates sign will be displayed: to <br /> Si�n#1: �� � � � �'J'� <br /> Sign Face Length: /� � Sign Face Width: �� �- � �� Total Square Footage: 3 �� � "T" <br /> Top of Sign to Grade: j�' -��� Distan om bottom of sign to grade: r 3 ' - ��" <br /> Materials: Wood �P`rastic`'✓ Metal , ✓Other: <br /> Illumination: External = �rna1 ����ndirect _ Other: <br /> _.� <br /> Si�— �--� Y� r ----- � <br /> � „ <br /> Sign Face Length: IS -c� Sign Face Width: � - � Total Square Footage: "3 .3 - / <br /> T�p of Sign to Grade: y' -�� "'_ Dis bottom of sign to grade: /..2 '- U '' <br /> Materials: Wood asticT.r' _ etal ,/_'Other: <br /> Illumination: External 'fnternal r/ �' Indirect _ Other <br /> *Attach additiona!sheets if necessa <br /> Please Note: A Minnesota State Electrical Permit is re uired if electrical work is ro osed. <br /> List Signs to be Removed(if any): <br /> Square Footage: Number of Signs: <br /> TEMPORARY SIGNS: <br /> . No more than 4 temporary sign permits may be issued per calendar year for not more than 10 <br /> consecutive days (including weekends). <br /> • No sin le s' n shall exceed 32 s uare fee . <br /> -over- <br />