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R�CEIVEa <br /> � City of Orono �1A`t � p ��i7 � <br /> Permanent Sign Permit Application o <br /> O�r Mailing Address: Permit number: C�/��— Q <br /> � !VO PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: ��a"/7 <br /> Street Address: Received by: <br /> 5.F � 2750 Kelley Parkway Permit Fee: $50.00 per sig� <br /> t,� �� Jrono, MN 55356 <br /> kFs HO(� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us s( � I — I�LVVW 1 <br /> This application form must be completed in full and all required informatio ust be submitted Q(L,���_�(,�- <br /> Incomplete applications will be returned. (P/ease print) I� T 1�� <br /> GENERAL INFORMATION: S <br /> Site Address: �j;K;�Shoreline Dr,Wayzata,MN 55391 (�I� <br /> Street Frontage of Property 713.6 ` t�� „/� <br /> � 6,�� b`�.� <br /> i �� `��I`�""— Existing Materials: �'� .. <br /> � ��� � <br /> �b �r�� o Woad �� � <br /> ����, ❑ Plastic , �P� <br /> � ��"� � ❑ Metal G mdirect <br /> ❑ Other(specify) ❑ Other(specify) <br /> ..� o�yn to Grade: <br /> OWNER INFORMATION: <br /> Name: <br /> Address: ���I� ��� City: NAVARRE ZIP: 55392 <br /> Contact Person �'�h ` ���� <br /> Phone: <br /> Email and/or Fa; �.. , ,c�. <br /> ' �\IV4f1 <br /> CONTRACTOR i m' • `� <br /> Name: � <br /> C 1� �� Q'(m�.t��,�--- <br /> Mailing Address: � (� � J� � �Cit : inneapolis ZIP: 55407 <br /> Contact Person: <br /> V� �w� <br /> Phone: <br /> *"All work is to bE � <br /> Y��ur�. <br /> PROPOSED SIGN I <br /> Type of Proposed; posed Materials: Proposed Illumination: <br /> Ox New Sign Installatic _..�.,�.�--�� L(� ❑ Wood ❑ External <br /> • <br /> ❑ Sign Alteration/ Sign Face Width:.�� ��_ � Plastic � Internal <br /> Face Change <br /> Total Square Footage:_�_� � Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: �2 X❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom Standard LED Channel Letters <br /> of Sign to Grade: 9' on ecorative curve metal <br /> ba rs <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> March 2016 *Electrical work done by other/licensed electrician <br />