2016-01104 - sign on building - Laserfiche WebLink

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� , Ci#y of Orono Permanent Sign Permit Application Q Mailing Address: permii number: p?d rO�� CrysBal 8ay,MN 55323-0066 Date received: �� Street Address: Received by: Z �` 2750 Kelley Parkway Permit Fee: $50.00 per sign F L Orono,MN 55356 `�kES H�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in futl and aii required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Site Address: �j �-� ,Sh�C?��t.�,r,�f� p/,t� �l��U�`t�'/�.� ,�/`''� Street Frontage of Property (feet) Size of Existing Sign: � �1 Existing Materials: Existing Illumination: Sign Face Length: �(,� ��- ❑ Wood ❑ EMernal Sign Face Width: ,C.S �C� �� `�' [�..'�Plastic [�lntemal Total Square Footage: � /�,�j 'f [�,-Alfeta! ❑ Indirect Top of Sign to Grade: o�U ` ❑ Other(specify) ❑ Oiher(specify) Distance from Bottom of Sign to Grade: /� / OWNER INFORMATION: Name: G-Uy,/_��S � <� 7 `r�.1'� ��..,�` Address: �,r/t�p W.. ;Q r�'S i City: �,Q/,�J�¢ ZIP: �5[../�c� Contact Person: ��/ S �.�,,f�.��,2,� Phone: �� —�/ S"' ��L>�/,E� Email and/or Fax ,��5 p ��?r.iy,�f�y�/.�/�!��'G-,a7 CONTRACTOR/APPLICANT: Name: ,S�f.v�G S�� C%'�'� Mailing Address: &� City:,S_ L;�tX.�IJ ZIP: g�'�S j'ca� Contact Person: � ? �j�'�� Phone: 3�c�—,� 5� � �lC�l� **All work is to be done per Minnesota Building Code PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Matsrials: Proposed Itiumination: / / �lew Sign Installation Sign Face Length: / � ❑ Wood ❑ External 1 ❑ Sign Alteration/ Sign Face Width: � ❑ Plastic ❑ Intemal Face Change Total Square Footage:�� ❑ Metal ❑ tndirect ❑ Other(specify) ��/ Top of Sign to Grade: � Other{specify) ❑ Other(specify) Distance from Bottom `�r S�'✓T� /'� of Sign to Grade: A Minnesota State Electricat Permff is required if electrfca/work is proposed. March 2016