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` ' City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Gi .�(�'�q <br /> �j,�,�. PO Box 66 Permit number: <br /> � �., � <br /> Crystal Bay, MN 55323-0066 I � Date received: � '�P"'� J <br /> ,� �� ''"' � Received by: S <br /> � � �, Street Address: I� I� c�o� <br /> �',�,L , `q� �H �ti�' 2750 Kelley Parkway " Permit Fee: $ O O� � <br /> RkESH�% 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. (P/ease print) <br /> GENERAL INFORMATION: <br /> Site Address: ���� s�!e►t-��'n� �p• <br /> Y <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> P <br /> �] Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: / � �] Plastic (�J Internal <br /> Face Change *� <br /> Total Square Footage: .��( I� Metal ❑ Indirect <br /> ❑ Other(specify) � � <br /> Top of Sign to Grade:� ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom +� � <br /> of Sign to Grade: ��'� <br /> OWNER INFORMATION: <br /> Name: �r/�Ye�" ' ���C�i/ sE.r� � <br /> Address: S' pr.�C,. •' 1, City: �„1/�cr' ZIP: 5" a� <br /> Contact Person: fr7 �'�i� �''��j n���� <br /> Phone: � - Lf 7� � '7 C�C? <br /> Email and/or Fax y��j=t�j7l ' � fo � <br /> CONTRACTOR/APPLICANT: <br /> Name: �j^-���<' . /� � � Gcl�hii'! � ��1C, <br /> Mailing Address: � D d �- /Q c9�b �Q'c.�� C�Y� �a,l l w.ryt� �-,Z�P: '�-g. ,�'.35�j <br /> Contact Person: j , ,'- �,i f'� � <br /> Phone: �+G�-Cn `�!�,- �,, .o�� <br /> Estimated Construction Value$ �-�, �/�� � ��� * *All work is t'o be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> [� New Sign Installation Sign Face Length:���� ❑ Wood ❑ External <br /> � J �J t� � <br /> ❑ Sign Alteration/ Sign Face Width: L�' V� �'�� � Plastic (� Internal <br /> Face Change � <br /> Total Square Footage: �� � � Metal ❑ Indirect <br /> ❑ Other(specify) �y �� <br /> Top of Sign to Grade: /�� �'� ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom � �� <br /> of Sign to Grade: � <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />