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City of Orono <br /> Permanent Sign Permit Application <br /> O MailingAddress: permit number: -0� $, <br /> PO Box 66 <br /> � � Crystal Bay,MN 55323-0066 Date received: �Z-'LL-trj <br /> Street Address: Received by: �ai� <br /> � �C' 2750 Kelle Parkwa $ <br /> y�, G. Y Y Permit Fee:� <br /> lqkfsHO�t�, 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 retumed. (Please print) <br /> GEPIERAL INFORMATION: <br /> Site Address: %��jL-1a � �j�Ce,�,�(�, ��v� <br /> Street Frontage of Property (feet) p � <br /> b <br /> Extsting Sign: Slze of Exlsting Slgn: Existlng Matertals: Exlsting Illuminatlon: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> �Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(speafy) ❑ Other(speafy) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMAT O : <br /> Name: � <br /> Address: City: � �SZIP: <br /> Contact Person: <br /> Phone: �- - <br /> Email and/or Fax J� <br /> CONTRACTOR I APPLICANT: <br /> Name: � �(" <br /> Mailing Address: City: ZIP: Cj <br /> Contact Person: <br /> Phone: - <br /> Estimated Construction Value (� � * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Stgn: Size of Proposed Stgn: Proposed Materlals: Proposed Illumtnatton: <br /> ❑ New Sign Installation Sign Face Length: ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(speciry) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota Sfate Electrical Permit is required if electrical work is proposed. <br />