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��� � City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: � �Q �3 <br /> �/g,D,1ij\ PO Box 66 Permit number: <br /> T Q� Crystal Bay, MN 55323-0066 Date received: � /� <br /> (,� �� %F.� �, '� StreetAddress: Received by: <br /> �.�, � Gti5' 2750 Kelley Parkway Permit Fee: $ � � <br /> g�xp4� Orono, MN 55356 <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: — <br /> Site Address: ?�,�_� `��L�"��� � �j� �1� <br /> Street Frontage of Property �j(C�o (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ Extemat <br /> ❑ Needs Alteration/ Sign Face Width:_ ❑ Plastic Internal <br /> Face Change <br /> Total Square Footage: � Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade:_ _ � Other(specffy) ❑ Other(specify) <br /> Distance from Botten <br /> of Sign to Grade:_ <br /> OWNER INFORMATION: , ` <br /> Name: �;�► 1��.t t'��..�C����-+� �S <br /> Address: Ciry: ZIP: <br /> Contact Person: 7� l�<S S� ��: �l <br /> Phone: y1 7 � F�"�vo� , �.4 -7�-1 � 1�/Q�. <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: Jt�`.�[�Y`��� �'�C�S � .v� <br /> Mailing Address: ��_l UG �l.,l t r���-r `J /\.�l� City:`��LS ZIP��}�� <br /> Contact Person: <br /> Phone: (� \'�^._ b'1 t�' �I C1 -- <br /> Estimated Construction Value$ � � -"'"""—* *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> New Sign Installation Sign Face Length:�/ � ❑ Wood ❑ External <br /> ! ❑ Sign Alteration/ Sign Face Width: �� / �v ❑ Plastic Internal <br /> ; Face Change <br /> Totai Square Footage:�� ,�Metal ❑ Indirect <br /> � ❑ Other(specify) � <br /> Top of Sign to Grade:--��� Other(specifY) ❑ Other(specify) <br /> i ' <br /> Distance from Bottom r/ � <br /> of Sign to Grade: �J � <br /> A Minnesota State Electrica/Permit is required if electrical work is proposed. <br />