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— � - City of �rono Permanent Sign Permit Appiication �O A T Mail PO Box 66� Permit number. �4��J�JK � f v� Crystal Bay, MN 55323-0066 Date received: "� "a'� Street Address: Received by: y � 2750 Kelley Parkway Permit Fee: $ � O� ,75 F`qKfSH��E` Orono,MN 55356 �� Z-3�� � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFf�RMATION: �/ � �,, � Site Address: �.J lp� ��G l�n� �� <V�f/��%C�v Street Frontage of Property (fest) Exlsting Sign: Size of Existing Sign: Existing Maberials: Exlstlng Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ Extemal ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Intemal Face Change Total Square Foatage: ❑ Metal ❑ Indired ❑ Other(specify) Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: , OWNER INFORMATION: �� J Name: – �V Address: j (.O S !•�!L t A r V C�tY� E ZI P: S'� Contact Person: L,� o – Phone: qs� Lf'j� ^ �0 �?� Email and/or Fax CONTRACTOR!APPLI NT: � ) Name: �L�/�� v�W-phr�►� � /v /'� Mailing Address: � e /ArG�- � S��!!0 Ciry: .�Dae�s Z�P: SS Contact Person: .S �'(f G S�� Phone: � — 0 y'� L2 Estimated Construction Value S ' ' '� $25,550.00 vork is to be done per IBC PROPOSED SIGN INFORMATI�N: !'�F ��C ��S��S� 5�4�'!a-J� ' �� Type of Proposed Sign: Sae of Proposed Sign: Proposed Mate�ials: Proposed IlluminaUon: ❑ New Sign Installation Sign Face Length: ❑ Wood ❑ Extemal ❑ Sign Alteration/ Sign Face Width: ❑ Plastic ❑ Intemal Face Change Total Square Footage: ❑ Metal ❑ Indirect ❑ Other(speafy) Top of Sign to Grade: ❑ Other(specafy) ❑ Other(specify) Distance from 8ottom of Sign to Grade: A Minnesota State Electrical Permit is required if electrical work is proposed.