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� City of Orono <br /> ` Permanent Sign Permit Application <br /> q, Mailing Address: Permit number: v�a� y—�/ 8 <br /> �-��VO PO Box 66 '/ <br /> Crystal Bay, MN 55323-0066 Date received: ��'J� / 7� <br /> Street Address: Received by: <br /> y�, � 2750 Keiley Parkway Permit Fee: � � 0� <br /> G Orono, MN 55356 <br /> lqKES H��� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Site Address: �y y��' �i/�����,. ;� �,` . <br /> � <br /> Street Frontage of Property ,C, (feetj <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing illumination: <br /> ,i , <br /> �� Needs replacing Sign Face Length: `` ���' � ❑ Wood ❑ Extemal <br /> ❑ Needs Alteration/ Sign Face Width: � ��� � � Plastic � Internal <br /> Face Change <br /> Tota�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: _1��� ;a;�� ^� <br /> Address: "��/y l %�����,-�� r�. City: -',<_.���� ZIP: �> >�; i <br /> Contact Person: /`„ ,,� f�,�,` s�„` ; <br /> Phone: y;s Z _� ��- � ,.z 5 <br /> Email and/or Fax %� ��:r;_�,�.�,, ��.��_ ; c_, .,,„; � , , ���,� . <br /> CONTRACTOR/APPLICANT: <br /> Name: C. 1 _� W'� �-.;n:� ,.: �. <br /> Mailing Address: � L �c, I � ;�y -; . �.. � City: _:?-,.;� <<,�,��,;.;� ZIP: >G`,7<< <br /> Contact Person: _���rL �,��,���;�.-� <br /> Phone: ���z - %6 �� - /y�'� � <br /> Estimated Construction Value$ �� �� � * * All work is to be done per BC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> . <br /> � New Sign Installation Sign Face Length: �� l ❑ Wood ❑ Extemal <br /> ❑ Sign Alteration/ Sign Face Width: y L ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: `l y ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: /� �( Other(specify) ❑ Other(specify} <br /> Distance from Bottom �. ' f��:;%�� � ��'�'N'� <br /> of Sign to Grade: � <br /> A Minnesota State Electrica/Permit is required if electrical work is proposed. <br />