2014-00976 - on building sign - Laserfiche WebLink

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. • ' RECEIVED City of Orono SEP 2� 2014 Permanent Sign Permit Applica�on No '� A, Mailing Address: Permit numbef: ��<VO PO Box 66 Crystal Bay,MN 55323-0066 Date received: Sireet Address: Receiv�ed by: s�, `� 2750 Kelley Parkrway Pe�mit Fee: $ � 3 • lqkf S H 0��" 0�10.MN 55356 _ _ Main_ 952-249-4600 Fax: 952-249-4616 www.a.orono.mn.us - - - - This application fonn must be completed in full and all required information must be submitted. Incomplete applications wiii be r+eturned. (P/ease print) GENERAL INFORMATION: s��: �3�� Sh��n� �r� �/�.v�e.� Str�t Frontage of Property (fe�t) E�dsting Sign: Size of Ex�ing Sign: Existl�g Materials: ' Existlng Illutninadon: ❑ Needs replaang Sign Faoe Lengtl�: ❑ Wood � Extema� ❑ Needs Alfierabon/ Sign Face Widfh: ❑ Plastic ❑ Intemal Faoe Change T�1 Square Footage: ❑ Metal ❑ Indired ❑ Otlter(spe�y) Top of Sign to Grade: ❑ Other(specity) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER INFORAAATION: � ) Name: � ��N A��: 3 Go l�Lt/j� V City: ZIP: S contact Person: L� o - Phone: qs� 1�7� -• �0 �2 Email and/or Fax . CONTRACTOR/APPU Name: �E/C�� er�h��s !k/v HIJ Mailing Address: �j e I�rG` � S+lf//0 City: .�p��s ZlP: S'S Contact Person: .S/m l'V G 5oit� Phone: (�� — $,Q y'� 3 2L -� � Estimated Co�s�uction Value S .� • * '� $25,550.Q0 vak is to be done per IBC PROPOSED SIGN INFORMATION: r�E �a�c �N-�+'T'�� S�lnQ-J� ' �� Type of Proposed S�n: 3ize of Proposed Sign: Propo�ed Maberials: Proposed Nluminatlon: ❑ New Sign Installation Sign Face Length: ❑ Wood ❑ Extemal ❑ Si9n Al6eralion! Sign Face VlfidfF►: ❑ Plasfic ❑ Irrtemal Faoe Chage Tota!Square Fodage: ❑ N�tal ❑ Indir+ect 0 on,�c�r) Top of Sign to Grade: ❑ Other(spe�y) ❑ Omer(sP��Y) Distar�e from Bottom of Sign to Grade_ A Minnesota State Electric�Permit is requinal if elecirfca/work is p�posed.