2010-00179 - sign on building - Laserfiche WebLink

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� , City of Orono Permanent Sign Permit 'cation Mailing Address: Permit number: -��-6f-�- " ^ � � � O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0 \ D te received: � / ' �� =� � � eceived by: (; L, a � �> a, Street Address: �'�c, � � �ti`� 2750 Kelley Parkway � Permit Fee: $ l�g�Hog� Orono, MN 55356 � � 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: Site Address: �Z.. ��,�,�,�;�, Street Frontage of Property (feet) Existing Sign: Size of Existing Sign: E isting Mate ' Is: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ W od Extemal ❑ Needs Alteration/ Sign Face Width: ❑ Pla ' ❑ Intemal Face Change Total Square Footage: Metal ❑ Indir ❑ Other(speafy) Top of Sign to Grade: Other(s ' ) ❑ O er pecify) Distance from Bottom of Sign to Grade: � %� l� t�can�-'. �aurcri �&h+odk-- OWNER INFORMATION�� \ � �"� � � Serdtl� Salon::�- Name: �� 3 ��m, Address: � $WCf. S �3 I ' 3q) City: ZIP: S�q � Contact Person: L,\� - � Phone: �52.. - Email and/or Fax � t- c' • ; � / 1 CONTRACTOR/APPLICANT• / / • _ �� - � � Name: ;r� �U � �'�� L �� L�f� Mailing Address: City: ZIP: , Contact Person: � �'� �— Phone: " � ' c� �� . � Estimated Construction Value " ' �� *iAll work is to be done per IBC `�-}w �'� PROPOSED SIGN INFORMATION: �� w�� Type of Proposed Sign: Size of Proposed Si n: Proposed Materials: Proposed Illumination: New Sign Installation Sign Face Length: Wood ❑ Extemal ❑ Sign Alteration/ Sign Face Width: ❑ Plastic Intemal Face Change Total Square Footage: Metal ❑ Indirect ❑ Other(specify) Top of Sign to Grade: Other(specify) ❑ Other(specify) Distance from Bottom �l a'�. of Sign to Grade: A Minnesota State Electrical Permit is required if electrical work is proposed.