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City of Orono <br /> Permanent Sign Permit Application <br /> /'Y A'�, Mailing Address: �Z�,,��_�, � <br /> � �-�'V \ PO Box 66 Permit number: , 3 <br /> r� � �ti Crystal Bay,MN 55323-0066 Date recelved: -�- <br /> � � Street Address: Received by: �� <br /> � yy �� 2750 Kelley Parkway Permit Fee: $50.00 per sign <br /> �' Orono, MN 5b356 <br /> ��k�slio��`� <br /> lMain: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Lt�'t��' `-��1 S`1'� <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Site Address: 3 S 7 y S�o�C��e ,(�,�'ve v�Ay zafm� �N <br /> Street Frontage of Property �;Z,p � (feet) <br /> Size of Existing Sign: <br /> Existing Materials: Exfsting Illumination: <br /> Sign Face Length: <br /> ❑ Wood ❑ External <br /> Sign Face Width: <br /> � Plastic � Internal <br /> Total Square Footage: <br /> � Metal ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: To�+�► /''� �'cl�a vd <br /> Address: /3 p/ hl�y /3 F City: (�„������Q ZIP: SS �.J > <br /> Contact Person: — <br /> Phone: q 5�1 - 8'9� • !-O `fd 1l0 ' Z- � <br /> Email and/or Fax t[0.n�,i C� t .S. n e rt <br /> CONTRACTOR/APPLICANT: <br /> Name: �/e te�u n S�q��v�'kI /-G c <br /> Mailing Address: ���, y y�� �ye J' City: M�o��.�.A/;� ZIP: 3'S'fOR <br /> Contact Person: —j"�,,o,ti,,a s �✓a q•� <br /> Phone: d/a, - 7 S 9 - 9/ U� <br /> "*All work is to be done per Minnesota Building Code <br /> PROPOSED SIGN INFORMATION: <br /> Type of P�oposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> y'��" / �o , � , �„ <br /> ❑ New Sign Installation Sign Face Length: � ❑ Wood ❑ External <br /> r6�, �� � <br /> 3 ' 6 <br /> ❑ Sign Alteration/ Sign Face idth: y � Plastic �J Internal <br /> Face Change ��, yy /G s Z�. 3� <br /> Total S�uare Foo�age:� � Metal ❑ Indirect <br /> J8, Other(specify) ,r-�l n, IZ � �°�/�„ ,;; /8� <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> RcP(�<r �,.,, � y � <br /> Distance from Bottom�o(�,�� N 8� <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> March 2016 <br />