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City of Orono W�''- �l� <br /> C�, Z,� � <br /> Permanent Sign Permit Application <br /> Mailing Address: permit number: a61 3.��� Z-`t' <br /> Og,O,�.O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: �' Z�7�U� <br /> a Street Address: Received by: <br /> �'.�,� � ��ti`� 2750 Kelley Parkway Permit Fee: $ � S� <br /> .�.�gHo�, 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 applicatfons will be returned. (Please print) <br /> GENERAL INFORMATION: � �� <br /> Site Address: 3�(o.>'r Si/0,���/�1� ,C/✓iv� .U'ifri'r�,�.�� /�� Ss���� <br /> Street Frontage of Property (feet) <br /> Existing 5ign: 5ize o�Exisiing$ign: Existing Materiafs: Existing Iliumination: I <br /> � Needs replacing Sign Face Length: -2 3U y ❑ Wood External , <br /> d <br /> ❑ Needs Alteration/ Sign Face Width: �Z� ❑ Plastic ❑ Intemal <br /> Face Change <br /> Total Square Footage: � Metal ❑ Indirect : <br /> ❑ Other(specify) • <br /> Top of Sign to Grade: /��7'c Other(specify) ❑ Other(specify) <br /> Distance from Bottom �P� �,�/�' <br /> of Sign to Grade: /`_ � <br /> OWNER INFORMATION: <br /> Name: _�i-,E''��v /�it�z�' <br /> Address: ���IGS ,S';1��— f,� .�/�vv�o City: ,l�,fv,f� ZIP: ss-„�% ' <br /> Contact Person: �/„y���� ��,.�,� <br /> Phone: Q,S`2 �7'/ 9��� <br /> Email and/or Fax �l�._,1,� ��,v-.-,��'�,��G f� <br /> CONTRACTOR/APPUCANT: . I! <br /> Name: � ' <br /> Mailin�.Address: /���� ��Y� ��_ _ City: ZIP: ,����9 <br /> Contact Person: ��� <br /> Phone: 5�-- � <br /> � <br /> Estimated Construction Value$ ,��'��'i "�/���.� " All work is to be done per IBC I��� <br /> PROPOSED SIGN INFORMATION: S�f�J�' '�"'s .��7'PP�'v����J`` �r��avS) �vf��� <br /> `r/�'rs <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumina ion: <br /> ❑ New Sign Installation ign Face Length: .�34�� ❑ Wood �'Extemal ' <br /> ❑ Sign Alteration/ Sign Face Width: �oZ�� ❑ Plastic ❑ Internal : <br /> Face Change � <br /> Total Square Footage: Metal ❑ Indirect <br /> �Other(speafy) <br /> � Top of Sign to Grade:_��G� Other(specify) ❑ Other(specify) <br /> � � I <br /> `,,l�,��. � `�U Distance from Bottom ,���� <br /> � 7� of Sign to Grade: 9�� .�iO�Y�r/ <br /> m - ,� <br /> A Minneso ectr' " equired if electrical work is proposed. � <br /> �bFt-,�/� ��icfi 7� �r//j��t'.r� �j l'��.t' <br />