2010-00982 - sign on building - Laserfiche WebLink

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,� - , C� �I �, � � � -�-�� s� � �� l �.f� City of Orono �,� � � ` Permanent Sign Permit Application �O� MailiPO Bo�r66 Permit number: �D—� 8 � �` � Crystal Bay, MN 55323-0066 Date received: �d �b ��'� - �Ir' '(� Received b �a � s. q Sfreet Address: Y� '�'.�, "<�� Gti ��I'�-I 2750 Kelley Parkway Permit Fee: $ �� L`�xEsxog'� Orono, MN 55356 —• — 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. (P/ease print) GENERAL INFORMATION: � cc Site Address: � 7 �(� `:�.c5r��;�c ��, wayza.�c,,��n.V S5 3� � Street Frontage of Property �p (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ E�ernal ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal Face Change Total Square Footage: ❑ Metal ❑ Indirect ❑ Other(specify) Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: �rp �cr�,�i�� — �j v� J'�'e r f�U S L Address: c.�� p S(„�,,,� �;„� City: ZIP: 4 Contact Person: �� (c„� �.�� Phone: q5� - �{7 � - �7 0�' Email and/or Fax -f�� vsu✓'�o��.r��{�c�:,sc._ cc�N-, CONTRACTOR/APPLICANT: Name: Mailing Address: City: ZIP: Contact Person: Phone: � Estimated Construction Value$ �� ' � * *All work is to be done per IBC PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: ,�New Sign Installation Sign Face Length: � � ❑ Wood ,�, External ��-� 1 ��n ❑ Sign Alteration/ Sign Face Width: 6 ❑ Plastic ❑ Interna �1°"� �'8��'s Face Change Total Square Footage: � a� ❑ Metal ❑ Indirect ❑ Other(specify) Top of Sign to Grade: �] Other(specify) ❑ Other(specify) Distance from Bottom Y�6]CNM r'er of Sign to Grade: A Minnesota State Electrical Permit is required if electrical work is proposed.