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' : �, City of Orono � d �a'�
<br /> ' Permanent Sign Permit Application � ��2
<br /> �O�O Mailing Address: Permit number: O/�J-��
<br /> PO Box 66
<br /> Crystal Bay, MN 55323-0066 Date received: -/- �.3
<br /> �, Street Address: Received by:
<br /> ti�, G� 2750 Kelley Parkway Permit Fee:
<br /> ��'�ESHO�� 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 fulf and all required information must be submitted.
<br /> Incomplete applications will be returned. (Please print)
<br /> GENERAL INFORMATION:
<br /> Site Address: ��/�/D Sifo/l�v,��� Q�_
<br /> Street Frontage of Property g,�,,�„Jb _ 30� (feet)
<br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination:
<br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External
<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(specify) ❑ Other(specify)
<br /> Distance from Bottom
<br /> of Sign to Grade:
<br /> OWNER INFORMATION:
<br /> Name: L,q,�iZs�o�. //zr-.�S+li� 5
<br /> Address: 3yc�o S,�g,��,,,,� ,p,e, City: o��,,,ro ZIP: ;S3 F /
<br /> Contact Person: ��A,� �o,e.��,,,�
<br /> Phone: QSi-ysZ,- 3ab8
<br /> Email and/or Fax �,vf�, � �,rF S•e,�T,Q,=.�s�,�. . �d,,,,
<br /> CONTRACTOR/APPLICANT:
<br /> Name: C� .� ..1 Aw•��.•�!o
<br /> Mailing Address: lZ b o � o�r ST-. it./��. City:�yq��c /��.P,�S ZIP: S6 3?9
<br /> Contact Person: s�,f,� �„��,�,wo
<br /> Phone: �t2- �'r�g- i yg 8
<br /> Estimated Construction Value$ 2-S� o '"" * *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: 3a � ❑ Wood ❑ External
<br /> ❑ Sign Alteration/ Sign Face Width: �Z� ❑ Plastic ❑ Internal
<br /> Face Change �Z.
<br /> Total Square Footage: ❑ Metal ❑ Indirect
<br /> ❑ Other(specify) ,
<br /> Top of Sign to Grade: �� 8' Other(specify) ❑ Other(specify)
<br /> Distance from Bottom 8 , ����'�+�fA�R�c �B�l
<br /> of Sign to Grade:
<br /> A Minnesota State Electrical Permit is required if e/ectrica/work is proposed.
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