2014-01217 - sign on building - Laserfiche WebLink

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', � i City of Orono � Permanent Sign Permit Application A, Mailing Address: Permit number: 2-�� L(`r g-0<VO PO Box 66 t Crystal Bay, MN 55323-0066 Date received: � 6 Street Address: Received by: y�, � 2750 Kelley Parkway Permit Fee: $ 3�'� L Orono, MN 55356 ��kESH�� 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: _�YS_� S6/viz�L,,J.� Y�Q, 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 ❑ Internal Face Change Total Square Footage: ❑ Metal ❑ Indirect �Other(specify) �o�� Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: �Rv�a�2 ae�<r�T� Address: �.�, ��X 3 City:,r�y�,�, ,�,��cc.� ZIP: SS 3 C� I Contact Person: r,�,�y�`�L ,er��A-,�,.v Phone: Gi2 • 7i � - �Yyy Email and/or Fax �,c�.�,�i L . ✓��r�/�„�N..� � vSQR�K. �� CONTRACTOR/APPLICANT: Name: C�+ J /-�w,�.e..�� Mailing Address: iz L-� i c�� ,T, nJo . City: S�vK ,e�P�os ZIP: S�37�/ Contact Person: 5—,�.,�,� �,,,�,��,� Phone: G �z, �Sb � • /� 8 4� Estimated Construction Valae$ 7Z � ' �� " � " All work is to be done per IBC PROPOSED SIGN INFORIIAATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: '�New Sign Installation �Sign Face Length: G 2 �� ❑ Wood ❑ External ❑ Sign Alteration/ Sign Face Width: y� b ❑ Plastic ❑ Internal Face Change c../ Total Square Footage: � ( � Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade: �Z' � Ofher(specify) � Other(specify) Distance Trom Bottom � �pd�'� /v�N'� of Sign to Grade: A Minnesota State E/ectrical Permit is required if electrical work is proposed.