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' , f , � <br /> � , City of Orono � �� ' <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: �D�J� -��/,5� <br /> 0 O�O CrysBtal Bay, MN 55323-0066 Date received: �-�'�� <br /> �31,�s�,y� , <br /> a ,� �� r�` �, StreetAddress: Received by: <br /> �'.�c, ,� �'���� �ti 2750 Kelley Parkway Permit Fee: $ �. J�(� <br /> L9kESHo4� 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 full and all required information must be submitted. <br /> Incomplete applications will be returned. (P/ease print) <br /> GENERAL INFORMATION: � . i i- 1 <br /> Site Address: ,� `�' �s',J ����i�� /i 1�� �/'�','^� <br /> Street Frontage of Property � (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumina�n: <br /> U Needs cing Sign Face Length: ❑ Wood ❑ �xtemal <br /> �.,�,_� , �' <br /> ❑ Needs Alteration/ '3ign-�aceYVidth: ❑ Plastic _..-��� ❑ Intemal <br /> Face Change '� ___—= <br /> _. <br /> Total Square Footage: '- � Metal ❑ Indirect <br /> ❑ Other(specify) --- <br /> _.. _____ <br /> Top of.Sign to Grade: ❑ Other(specify) '� - __❑ Other(specify) <br /> _ _ �_� <br /> ' Distance from Bottom .__�- <br /> of Sign to Grade: <br /> OWNER INFORMATIO : <br /> Name: /�I� � � i <br /> Address: � �lj City:/fjj�t, ZIP: '" (�/ <br /> Contact Person: /113�/ �, � �, � <br /> � <br /> Phone: , ��, ,� 7�� �. j, L�c�y <br /> Email and/or Fax ,iy�,�,���f,. �� ,v.ry���,,� �!�/�M���•i". �;�'?/� <br /> CONTRACTOR/APPLICANT: � <br /> Name: �' � d�,•'l� � �' �� <br /> Mailing Address: � '�, /� °L, City: , �, ' ZIP: ' � <br /> Contact Person: u� � �� - <br /> Phone: 1�, � � 0 ' <br /> � + Qd * *All work is to be done per IBC <br /> Estimated Construction Value$ /',�� 4eI � <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> y <br /> ew Sign Installation Sign Face Length: ��C ❑ Wood xternal <br /> � �/ <br /> ❑ Sign Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: �7 �� ❑ Metal ❑ Indirect <br /> ❑ Other(specify) J <br /> Top of Sign to Grade: 1� �Other(specify) ❑ Other(specify) <br /> Distance from Bottom ; �(}�r>�✓� � <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if e/ectrica/work is proposed. <br />