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. <br /> e <br /> City of Orono <br /> Permanent Sign Permit Application <br /> �O� Ma�ng Address: Permit number: �� <br /> O PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: — 4p <br /> Street Address: Received by: C�/�� � I � <br /> y G�' 2750 Kelley Parkway Permit Fee: $50.00 per sign � <br /> `�t Orono,MN 55356 <br /> . <br /> 1'CFS H 07'E �_---._---'-- <br /> Main: 952-249-4600 Fax 952-249-4616 www.ci.orono.mn.us (.-r Y i-=-�" �� I I I �I � <br /> Y- <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please printJ <br /> GENERAL INFORMATION: <br /> Site Address: �j5 9�v �ho J�?�l v�, �ti�[-2. <br /> Street Frontage of Property � (feet) <br /> Size of�ting Si�n: <br /> -FadsEing Matenais: �1ing111uminaLon: <br /> S19t1 race�a�y.... <br /> ❑ Wood O Extemal <br /> Sign Face Width: <br /> p Plastic ❑ Intemal <br /> Total Square Footage: <br /> ❑ Metal ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other(specity) p Other(specity) <br /> Distance from Bottan <br /> . of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: (�i ir�. a- �fs� .l..a{�p✓� <br /> ' Address: �� 5�Y G LJ�S P 2-- City: �VI��G�.. ziP: 55 3l�'� <br /> Contact Person: <br /> Phone: �p�Z � Z� O • g�j��j <br /> Email and/or Fax vy��' ti �' �6 y�� <br /> CONTRACTOR/APPLICANT:� <br /> Name: � L�J.G� � Yl(�• <br /> Mailing Address: �C�U �.�I U�/y.tz� �Y� �"j� C�tY I ILMA-IQ– Z�P� nZU� <br /> Contact Person: so'r�l S (�i <br /> Phone: 3 Zo , Z�S • 1 CQ(9 <br /> '*All work is to be done per Minnesota Building Co e ��� �,�� <br /> 5i�� � s��� �, ( 8 <br /> PROPOSED SIGN INFORMATION: � '� <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination• <br /> � New Sign Installation Sign Face Length: 2 't �7 ` ❑ Wood ❑ Extemal � <br /> 'J II �� �( <br /> ❑ Sign Alteration! Sign Face Width: �i � �Plastic ha Internal <br /> Face Chenge ,� T� <br /> Total Square Footage: ❑ Metai ❑ lndirect <br /> ❑ Other(specify) , I��� <br /> Top oF Sign to Grade: �Z ❑ Other{speciTy) ❑ Other(sp afy) <br /> Distanca from Bottom �U� �lGt n <br /> of Sign to Grade� <br /> • A Mlnnesofa State E/ectrica/Pe it is required if electrical work is proposed. <br /> March 2016 <br />