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City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Add►�ss: Permit number: -'Q(7 <br /> O�,D,�.O PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: <br /> ,� - �`,�, �, �/ ("i'l Street Address: Received by: <br /> '�,t � " �GtiiS' ��I O 2750 Kelley Parkway Permit Fee: $ �S ,d� <br /> �ESH04' Orono, MN 55356 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.a.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: <br /> site Address: 3 L( 2 � �{������ �2� <br /> Street Frontage of Property .� �� �- (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> �Needs replacing Sign Face Length: 2� F� �ood ���� ❑ Extemal <br /> ❑ Needs Alteration/ Sign Face Width: y�� ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage:� ❑ Metal �ndirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATIO • <br /> Name: �G/1 c��-._��F�►- iv1�J�-�� �-lC� de� <br /> Address: z��� ���w�� � City: j� �t.,�jLI P. �, <br /> Contact Person: �G <br /> Phone: y�Z - y? /- ��b�� � 5.�,- �/7 Z � � � � <br /> Email and/or Fax ���g �-..�, �� Q �o 2 S���, �+� <br /> � <br /> CONTRACTOR/APPLICANT: / <br /> Name: � r,('�p�1 /�- j(� /�/ <br /> Mailing Address: City• 7- . ti� �y( ZIP: � � <br /> Contact Person: �(/j�-�G - <br /> Phone: ��'2,. �{�{ (v ( �' <br /> Estimated Construction Value� .`�L�� • � �* *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: �, S� <br /> Type of Proposed Sign: Size of Proposed ign: Proposed Materials: Proposed Illumination: <br /> �New Sign Installation Sign Face Length: �� �C ❑ Wood ❑ E�emal <br /> � <br /> ❑ Sign Alteration/ Sign Face Width: Z �� ❑ Plastic �Intemal <br /> Face Change <br /> Total Square Footage:� �Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(spec'rfy) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota Stafe Electrica/Permit is required if electrica/work is proposed. <br />