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. , � City of Orono Permanent Sign Permit Application O MailingAddress: Permitnumber: � 7'"� 7 � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �� Street Address: �� Received by: � y G�' 2750 Kelley Parkwa � � Permit Fee: $50.00 per sign `� Orono,MN 55356 ' � ��'� ��XfSH�� 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. (P/ease print) R�C�'y�D GENERAL INFORMATION: Site Address: 3542 Shoreline Drive Wayzata, MN 55391 APR 1 7 2017 Street Frontage of Property 154.19' (feet) ¢CITY OF ORONO Size of Existing Sign: Existing Materials: Existing Illumination: Sign Face Length:8' ❑ Wood ❑ Extemal Sign Face Width: 4' � Plastic � Intemal Total Square Footage: 32 SF � Metal ❑ Indirect Top of Sign to Grade: 12'-6" ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: 8'-6" OWNER INFORMATION: Name: Advance Stores Company, Inc. Address: 5008 Airport Rd City: Roanoke,VA ZIP: 24012 Contact Person: Patience Shaffer Phone: 574-232-4726 Email and/or Fax pjs@sesbranding.com CONTRACTOR/APPLICANT: Name: Lawrence Sign Mailing Address: 945 Pierce Butler Route City: St. Paul, MN ZIP: 55104 Contact Person: Mike Waich Phone: 651-488-6711 **All work is to be done per Minnesota Building Code PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: ❑ New Sign Installation Sign Face Length: $� ❑ Wood ❑ External � Sign Alteration/ Sign Face Width: 4� � Plastic � Intemal Face Change 32 SF Total Square Footage: � Metal ❑ Indirect ❑ Other(specify) 12'-6" Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom $,_6„ of Sign to Grade: A Minnesota State Electrical Permit is required if e/ectrica/work is proposed. March 2016