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` FROM : PERFORMANCE SIGNS � DISPLRY PHONE N0. : 763+424+2106 SEP. 10 2014 01:46PM P2
<br /> City of �rono
<br /> Permanent Sign Permit Applic�tion
<br /> _--._A_r p —D/ �
<br /> Marling Address:
<br /> ���VO PO Box 66 Pa�n�t number:
<br /> Crystal Bay, MN 55323-0066 Date received: ��� "�� –/
<br /> Stree!Address: Received by:
<br /> � � 2750 Kelley ParkW2y permit F�e: $
<br /> �,yk� ��,�' Qrono, MN 55356
<br /> s�p �� .J�, �,
<br /> fvEain; 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us
<br /> This application form must be completed in full and all required infonnation must be submitted.
<br /> Incomplete applications will be returned. (P1E�se prrnt)
<br /> GENERAL INFORMA"CCON:
<br /> SiteAddress: .�SJE SIdUi���(t�� �n.���
<br /> Street Frontage of Property q=r�� (�' � 53 g SQ Jr�i'� (feet)
<br /> Existing Sign: � Size of 6xisting Si�n; Existing Materials: � Existing Illumination:
<br /> ❑ Needs replacing 1 Sign Face Length: ❑ Wood Q �xternal
<br /> [] Needs Alteration/ Sign Face Width: �_,w PIaStlC ❑ InYemal
<br /> Face;Chanys
<br /> Tqtal Squ�re F00[age; ❑ MetaE � IndireCt
<br /> C� Qther(specify)
<br /> Top�f Sign to C�racle: j � Othar(specify) ❑ �4her(specify)
<br /> Distance frp;r. BOttOm I �
<br /> of Sign to Grade:,,�„_ '
<br /> � � m_.._I
<br /> OWNER INFORMATION:
<br /> Name: S��170�1 SA�C;� ��'A
<br /> _..._. .T........�. ..
<br /> Address: ��1b) OAt<i.(,� Tb�ZCt/�C�' c�tY: tiNp��A ZIP: �5'3c�1
<br /> Co�tact Person: ��Av1�G 1�ArrJn�._. _.,..,. ,,,,,_�_�..—_ _
<br /> ...
<br /> Phone: y5�,-^¢► GQ,"1'21 vsc:^�+L CG�U 7G3�'7�4 �'0 8
<br /> �~ �� �-------. ......�,._....—.
<br /> Email and/ar Fax (N Fp �, SF;+O�„Si>A, C.c:r�
<br /> CONTRACTOR/APPLICANT:
<br /> Name: �CiL�o�'lti�li��rC�- SlG-1.ts �� nI�Q(�pb`� f�G,
<br /> �---._._. , , ....._.__.
<br /> Mafling Address: QG:Oo )C,�i l�q� ,A�,dc�._ti`_..�_ S�''�� i Cp CitY: C'�R4oI(..�.�+r1 ��Al�i� ZIP: S��
<br /> ��.....�
<br /> Contact Persor.� s Ccl.,a'"�..
<br /> -���'fl,���_.�._� .,,,_
<br /> i�hone: �(63--�'l��rL�aE,
<br /> --�--. .__..., .�._._ .
<br /> �stimated Construction Value$ �O`' * "A!!work is to be done per 18C
<br /> PROPOSED SIGN INFORMATION:
<br /> ----__........,.._:___
<br /> ; Type of Proposed 5ign: Size of Proposed Sign� I PropoSed Materials: ProposEd Ilfumination�
<br /> New Sign Installation Sign Face�engih: � Wood � � E�ernal '•
<br /> I
<br /> ❑ Slgn Alteration/ Sign Fac;e Width,_„,...„,_,w.�___ _ � Plastic ❑ In(gmaf
<br /> Face Ghange
<br /> Tot�l Square Footac�e: � Metal Indir�eCt
<br /> � Other(specify}
<br /> 7op of Sign#o Grade: � Q Othe;(specify) ❑ Other(5�eCify)
<br /> t t�StA�.t. E��s�c,��
<br /> i S�G,�,1 �up1; l�Y1E�t�vS" Distance from 6ottom � _ !
<br /> � ,��1C� � oP Sign to Grade: i —__.__,,. .. ,..,.,_..,...___ i
<br /> L ,�,,_�,i I
<br /> 3�� A Minnesota Stafe Electrrcal P2rmit i5�equired if electrica!work is proposed.
<br /> 5
<br /> �lb�� �
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