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Jul 0£i 11 09:26a A La Carte & The Sign Age � 952,471,9359 p.1 <br /> � �V 1 ` �� � <br /> �' l � 5 <br /> City of Orono � �. <br /> Permanent Sign Perrnit Appfication <br /> Marling Add�ess: Permit nurnber: ���` ���� <br /> Po B�X ss � ' �7 !l <br /> � ��� Cryst21 Bay, MN 55323-OOfi6 Oate received: <br /> �`0 '� � l� Recei�ed by. <br /> �`��u.,-L f Sfreet Address' <br /> .'�5,� �, :� Gti�% 2750 Kel�ey Parkway Perm�t Fee: $ � <br /> �EssOQ'�s. <br /> Or�na, MN 55356 <br /> Main: 952-249-4600 Fax: 952-249�616 www.ci.�ron�.mn.us <br /> This application forrn must be completed in fu�l and all required information must be submitted. <br /> Incompfete applications will be returned. (Please print) <br /> GENERAL INFORMATION: � C � � �,`;G��'� �I� S��"� � <br /> Site Address: � � J <br /> Street Frontage of Property <br /> - (feet) <br /> Existing Slgn: Size of Exisiing Sign: Existing Materials: Existing kllumination: <br /> ❑ Needs replacing Sign Face Length: � <br /> W�d ❑ External <br /> ❑ Needs Alteration! Sign Face W�dth: ❑ Plastic <br /> Intemal <br /> Face Change Indirect <br /> Total Square Footage: ❑ Meial <br /> ❑ Othsr(specify) ❑ Other(specify) ❑ Other(specifyj <br /> Top of5ign to Grade: <br /> Distance from Bottom - <br /> of Sign to Grade; <br /> , Zlr��� r <br /> OWNER INFORMATION: ��,(,, s►�n � <br /> Name: �f [k,'� �- r1f1� �.,na. �d1;� !��l�?Y� �J"to� <br /> � C�y; ZIP. <br /> Address: ► <br /> Contact Person: <br /> Phone: " � ' C <br /> Email and/or Fax �ti " ` � <br /> CONTRACTOR 1 APPLICANT: <br /> Name: ' ' , . City: � ZiP, � <br /> Mailing Adciress: <br /> Contact Person: <br /> Phone: C . <br /> Estimated Construction Vaiue� <br /> �� -�DJ � * Alt work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type oi Proposed Sign: Size of Proposed Sign: Proposed Mate�als: Proposed lllumi�►ation: <br /> , ►l Extemal <br /> ew Sign lnstaflation Sign Face Length: 1�1� ❑ Wood � <br /> �l Internal <br /> Plastic <br /> ❑ Sign Alteration 1 Sign Face Width: '�a `v �;�v � <br /> Face Change � Metai � � , ❑ Indirect <br /> Total Square Footage: y��� ��,.Q� � <br /> ❑ Other(specify) Top of Sign to Grade: _ ❑ Other(speciry� ❑ Olher(specify) <br /> . , � N OI�� <br /> Distance fro.m Bottom — — <br /> of Sign to Grade: �CLG� �,L <br /> A Minnesota State Elecirical Permit is required it electrica/ ork is proposed. <br /> I(�`' y.h►c.�.. QlumcOre. w L V►►��t l �'►�''�c� <br />