2016-01401 - sign on building - Laserfiche WebLink

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f City of Orono ' � � Permanent Sign Permit Application �O�TO Mailing Address: Permit number: oZD — Q 1 V PO Box 66 Crystal Bay, MN 55323-0066 Date received: / — 3—/,(� Street Address: ��Q Received by: y�, � 2750 Kelley Parkway �1��1G Permit Fee: $ � v(..� l�kESHO��G Orono, MN 55356 V ,11 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. (Please print) GENERAL INFORMATION: Site Address .3`/yj �j�o2�G,,�,,� �d�, Street Frontage of Property `� (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External \ � ❑ Needs Alteration/ Sign Face Width�-' ❑ Plastic ❑ Intemal Face Change i Total Squ e Footage: ❑ Metal ❑ Indirect ❑ Other(specify) r Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) �aJ K. � �/�/�(/ Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: Q�a C�-s��•vl ,�t.�S �- Ti��k�,� C�iz:;�G Address: 3yys ��„�,;�,,,fy �. City: ZIP: Contact Person: O�r,��y �,i�,�,v,�.� Phone: �9SL- y7l� 7 ��3� Emaii and/or Fax COf�RACTOR/APPLICANT: Nam ,: c� -� _./ /-�u.��.�� Mai�ing Address: � z(�u /�� T; ,cI-a� City: S�vk ��o{ ZIP: s (3�7.� Contact Pe��on: S�x�,-� C,�,��,�,� Phone: C:lz-yG�-�y�'r� r Estimated Construction Value$ /� � Z � r * * 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: L d ❑ Wood (� External ❑ Sign Alteration/ Sign Face Width: �� ❑ Plastic ❑ Internal Face Change � Zi Total Square Footage: 3 �' � `�� ❑ Metal ❑ Indirect ❑ Other(specify) a Top of Sign to Grade: ll � Other(specify) ❑ Other(specify) Distance from Bottom � �"��+��-�J��L aY ��2> of Sign to Grade: �' A Minnesota State Elecfrica/Permit is required if electrical work is proposed.