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� � � ��a� <br /> � City of Orono � <br /> Per anent Sign Permit Application <br /> �O�O Mailing Address: Permit number. p2�� ��� <br /> PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Street Address: Received by: <br /> �.� `� 2750 Kelley Parkway Permit Fee: � 3 <br /> Orono,MN 55356 <br /> l�kfSH��� <br /> Main: 952-249-�t600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application foRn ust be completed in full and all required information must be submitted. <br /> Inc mplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Site Address: j '��', �t .� `� ' �� .�, <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Exlsting Illumindtion: <br /> ❑ Needs replacing Sign F ce Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign F ce Width: ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total quare Footage: ❑ Metal : ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distan e from Bottom <br /> of Sig to Grade: ' <br /> OWNER INFORMATION: <br /> Name: ���Sic{ <br /> Address: �� City: , .L, ZIP: � <br /> Contact Person: <br /> Phone: C S � ,, <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: <br /> Mailing Address: � � City: ZIP: ��� <br /> Contact Person: � <br /> Phone: �"iS�. � � � � <br /> Estimated Construction Value 'All work is to be done per IBC <br /> PROPOSED SIGN tNFORMATlO : <br /> Type of Proposed Sign: Size of Proposed Sign: r Proposed Materials: Proposed Illumination: <br /> New Sign Installation Sign ace Length:�_� ❑ Wood ❑ External <br /> e � <br /> ❑ Sign Alteration/ Sign ace Width: �- ❑ Plastic ❑ Intemal <br /> Face Change + <br /> Total quare Footage:--�r� �Metal ❑ Indirect <br /> ❑ Other(specify) � <br /> Top Sign to Grade: )� ❑ Other(specify) ❑ Other(specify) <br /> Dista ce from Bottom � � <br /> of Si n to Grade: <br /> A Minnesota St fe E/ectrica/Permit is required if electrical work is proposed. <br /> � � a �, a��wua c� of �sq f� I� �i� n^�f, c�- <br /> � <br /> � ��er-}y- .—. <br />