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FROM : PERFORMANCE SIGNS & DISPLAY PHONE N0. : 763+424+2106 SEP. 10 2014 01:45PM P1 <br /> f ~ <br /> �;1�(Z1S��1�� n/1nYsS�r� <br /> Cit� af Orono �r�����,�� �c i . o;za,_>o� M,��u� <br /> Permanent Sign Permit Application <br /> �,� `O Mailing Add��ss: Pcrmit number: �/ -�/d <br /> ��� PO Box 68 <br /> Crystal Bay, MN 5532�-0066 j Date reccivsd� -/Q-/ <br /> StreetAddrsss: Received by: <br /> y� � �750 Kelley Parkway Permit Fee: a � <br /> 1 ,��' Orono, MN 55356 <br /> qKESrio�` n <br /> Main: 952-249�600 Fax: 952-249-4616 www.ci.orono_mn.us I �.l' fJ � Zc <br /> This applicatian form musf bE compEeted in full and all required information must be submitted. �- <br /> lncomplete applications will be returned. (f''lease prinf) � �j,� <br /> G�NERAL INFORMATION: <br /> SiteAddress: ;5�� SE�e1��c�1�J� D�i�`�• <br /> -_._._..,..._._-- <br /> Street Frontage of Property 4c'� �L'� $�g S��,yzg (f�et) <br /> f Existing Sign: Size of�Existing Sign: Existing Materials' �xisting 111umination: <br /> i � Needs rcplacing Sign Face Length:._,_µ.�_ ❑ Wood [� Ext�rnal <br /> j ❑ Neads Alteration/ Sign Face Width: � ❑ plastic � Int6rnal <br /> Face Change <br /> Tota�SquarP Fpotaye:,,,,_ [] Metal ❑ Indirect <br /> ❑ Other(specify) I <br /> Top�f Sign fo Grade: i [f Other(specify} � OthEr(spgcify) <br /> � <br /> i <br /> Dist3nce from Bottom j <br /> ot Sign to Grade;�____,�_,,._„_,�,µ.,.„ � <br /> OWNER INFORMATION: <br /> Name: S�oOpU SA�-�Or� SPI� <br /> Address: '2f�o� OA,G��A T�IZt2�C� City: 1�II�vIZATA zlP: M�1 `-'�3� <br /> Contact Person: .M�� ��_���p��T._ <br /> ---- — -.__....,_..�... .. <br /> Phone: 9�'2—�-�7-��`��lZ v�a''� Gru. �6S��L�F�--vo30 <br /> EmaiE and/or Fax ��,� @, �t�poJSC�A,Cor� <br /> CON7RACTOR/APPLICANT: <br /> Name: P�i'tFon/�nA���'� S1C�s �� �7�5��UA`�, {NG� <br /> MaifingAdc+ress: _......`�,�,00 X,�£tro_�A�6.�..._.�o...��:�.:�...SC�� .__..... Cit :U�(d-��i��►r� PAGLI� ZIP: C` <br /> _ __..---y-------- --- ___._5�1"� <br /> Coniact Person: �MES IC�4�`iEiC., <br /> Phone: ����"� ,:`2t6..�. . <br /> . ........... .. .... . ..... ... �.__._.__ _,._.----------�__...�__.,........._,_..._.�..,. <br /> Estimated Construction Value � V� �AI1 work is to be done per IBC <br /> PROPOSED SIGN INFURMATi�N: <br /> YP P 9 -�._. .p 9 P eria.........�._ <br /> T e of Pro osed Si n: Size qf Pro osed Si n: Prv osed M�t � <br /> � � Is: � Proposed Illumination: <br /> ' I <br /> � � New Sign IrtSt8112tion Sign Far,o Leng[h: �`�. Wood ' Q� Externai � <br /> ❑ Sign Alteration/ 5ign Face Width� � Plas2ic Q internal I <br /> Face Change <br /> Total 5quare Footage: � Metal 0 Indirect <br /> ❑ Other(specify) <br /> � Top of Sign to Grade; � (] Othor(specify) � Other(specify) <br /> I pistance frpm Sottom � <br /> , � .......��. , <br /> I of Sign to Grade: i ! <br /> I _ � � <br /> � __._._ �..� <br /> A Minnesot� Sfate�l�ctrical Permif is required if electrical work is proposed. <br />