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City of Orono Permanent Sign Permit Application 1 /�O A, MailIPO Bo�r66 ' Permit number: � O I� J , Y I2� / �yO �� Crystal Bay, MN 55323-0066 Date received: � � `� � I ��'` .; ,, , Street Address Received by: �� ' s� :i 2750 Kelley Parkway ' permit Fee: $ �. � 11KESHO�t� Orono, MN 55356 �,-,.,�� tz/1 �,y 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. (Please pnnt) GENERAL INFORMATION: Site Address: 3$t'-J'Q g S'�� Street Frontage of Property (feet) Existing Sign: Size of Existing Sign: Exiating Materiala: Existing IlluminaUon: ❑ Needs replaGng Sign Face Length. � ; ❑ W� ❑ External �.,/ b � pQ Needs Alteration! Sign Face Width: O �Plastic = (�Intemal ( Face Change �� i Total Square Footage: � �Metal 1 ❑ Indirect u� Other(specifyy Top of Sign to Grade: ❑ Other(speciry) ❑ Other(specify) ; � Distance from Bottom � of Sign to Grade: OWNER INFORMATION: �' � � �, �' � �� jQr Name: Address: yl. City: ZIP: Contact Person: rn�� Phone: —�sa �f!� R�� Email and/or Fax y�� (�-�� , �� CONTRACTORIAPPLfCANT: Name: Mailing Address: n City: ; Z�p: 3 Contact Person: _ �yMe� ��,�n�� Phone: �� Estimated Construction Value$ {�Z1(� * *All work is to be done per IBC PROPOSED SIGN INFORMATION: Type of Proposed Sign: ' Size of Proposed Sign: �—proposed Materiala: Proposed Illumination: ❑ New Sign Installation Sign Face Length: � ❑ Wood i ❑ External ; ❑ Sign Alteration/ ' Sign Face Width: ❑ Plastic + ❑ Intemal Face Change Total Square Footage: I ❑ Metal ❑ Other(specffy) ❑ Indirect Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom � � af Slgn to Grade: � I A Minnesofa State E/ectrical Permit is required if electrica!work is proposed.