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� , . City of Orono ��_ Permanent Sign Permit Application Op, Mailing Address: Permit number: 2.0��-+ � �I � �VO PO Box 66 t Crystal Bay, MN 55323-0066 Date received: �� 1 ( Street Address: Received by: y�, � 2750 Kelley Parkway Permit Fee: $ �5 � Orono, MN 55356 `�'FES H�� 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: SiteAddress: �y�,,� SJ�o/�FLin.J.'E .02,v� Street Frontage of Property gp (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: � Needs replacing Sign Face Length: �-� � ❑ Wood ❑ External ❑ Needs Alteration/ Sign Face Width: y � ❑ Plastic ❑ Internal Face Chan e / 9 Total Square Footage: �7 � ❑ Metal ❑ Indirect ❑ Other(specify) , Top of Sign to Grade: /L �]t Other(specify) �Other(specify) Distance from Bottom g � f'�Q�< <- N�''�� of Sign to Grade: OWNER INFORMATION: Name: ff9�rS /�-9lC��i Address: 3 y�S S�o�s��N.4 02, City: e�.-s..�u ZIP: SS 3� / Contact Person: ,r�� 7, ��S-�,,J Phone: 7� 3 -Yz/- yz,a � Email and/or Fax /(�c c�� r��'ic-��,,,o�2�,q�rX , c�� CONTRACTOR/APPLICANT: Name: � .r J ,4 w.,,i,.�(� Mailing Address: �z�d l�� D . City: Sq„k ,e,�p,os ZIP: ��3 7�1 Contact Person: �u� C,��,�uNv Phone: (� t z- Q�, �—!�8 E3 Estimated Construction Value$ l�? j �� " "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: `-G ❑ Wood ❑ External � Sign Alteration/ Sign Face Width: �� ❑ Plastic ❑ Internal Face Change . Total Square Footage: �7 ❑ Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade: '�- �I Other(specify) �Other(specify) Distance from Bottom g ��'�� - �ro^-'� - of Sign to Grade: A Minnesota Stafe Electrical Permit is required if e/ectrical work is proposed.