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� � Cit of Orono <br /> � y <br /> Permanent Sign Permit Application <br /> O Mailing Address: Permit number: O�I`��U� 7 <br /> � NO PO Box 66 <br /> �� Crystal Bay, MN 5�3,$[���� Date received: ��' Oq—/ <br /> Street Address: E�, _ Received by: <br /> y � C��' 2750 Kelle Parkw �� `'� � ���, $50.00 per sign <br /> ` Y � Permit Fee: <br /> `�t,� � �' �VV Orono, MN 55356 , <br /> k�s►-io �' C�N pF pRONO <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. (Please print) <br /> GENERAL INFORMATION: �, n, � `' <br /> Site Address: �rj� �����,!)1�Q.�r�YQ,• N��IY�/�V1�V'� (�11(�.5,�� � <br /> Street Frontage of Property �� (feet) <br /> � <br /> Size of Existing Sign: <br /> Existing Material : Existing Illumination: <br /> Sign Face Length n� <br /> ��1 " ❑ Wood ❑ External <br /> Sign Face Width:� <br /> ❑ Plastic ❑ Intemal <br /> Total Square Footage: <br /> ❑ Metal ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other specify) ❑ Other specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: , <br /> Name: ���� Q� � <br /> Address: 4 S � City: ZIP: <br /> Contact Person: �� ' <br /> Phone: q � <br /> Email and/or Fax Q,('i►:�G' �, Gi ( ,(�j <br /> CONTRACTOR/APPLICANT: <br /> Name: �vt , <br /> Mailing Address: � ,�, City:fvYy � ZIP: S�� <br /> Contact Person: �L <br /> Phone: � 3-- U _ 2 �J,S <br /> **All work is to be done per Minnesota Building Code <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> �,r n . <br /> JZQ New Sign Installation Sign Face Length:� �� ❑ Wood ❑ External <br /> � \ n' �i <br /> ❑ Sign Alteration/ Sign Face Width: l�c�n !"�'�� Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: � � ❑ 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 /> A Minnesota State Electrica/Permit is required if e/ectrical work is proposed. <br /> March 2016 <br />