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.� � • 1 t� <br /> 1 <br /> a�'�� City of Orono <br /> , � Permanent Sign Permit Application <br /> Mailing Rddress: Permit number. a U�O" p U� �}�} <br /> O�Q J��O PO Box 66 <br /> �`V Crystal Bay, MN 55323-0066 Date received: -Z[� - �� <br /> Sfreet Address: Received by: b � <br /> � � � 2750 Kelley Parkway Permit Fee: $ <br /> ��C�A�x�g,rri�' Orono, MN 55356 <br /> �8.51� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.a.orono.mn.us <br /> This application foRn must be completed in full and all required information must be submitted. . <br /> Incomplete applications will be returned. (Pfease print) <br /> GENERAL INFORMATION: , / <br /> Site Address: ��j�� �� �1��� fV r <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Exis6ng Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replaang Sign Face�ength: � Z ❑ Wood �Extemal <br /> ►t <br /> °� Needs Alteration/ Sign Face Width: �_ ❑ Plastic ❑ Intemal <br /> � �ace Change <br /> Total Square Footage:� �Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: �P �'`Other(specify) ❑ Other(specify) <br /> Distance from Bottom b 7 /n�� <br /> of Sign to Grade: ��� <br /> OWNER INFORMATION: ` ^ � t � � <br /> Name: '�JP� J%� Y ��2'1 ��/`�, � � �7 Cl/ _�� <br /> Address: � , fl f City: � Z�P'�—�.---� <br /> Contact Pe son: �-' ' � �- ,, <br /> Phone: �� ��` �� � � -_ "';�;7-j � �t' I� <br /> Email and/ r Fax ' � �� � 1 - v'� <br /> �('i �\I b 1..� �--�v1/�. 1(. ,i i � � �1,1�1H!��v'v <br /> CONTRAC OR/APPLICAN�� 7 <br /> Name: ��� 1 <br /> Mailing Address: � � � ' - �,/�1. C��= " � P� � <br /> Contact Petson_ 2u � „�Yh / , p��1 , I� '��3 <br /> Phone: _�J� � ��` l��%� <_t ��- �l� ":�-�� � �s��- 13:� <br /> Estimated Construction Value� ,�l'l'/� " :All work is to be done per IBC <br /> PROPOSEb SIGN INFORMATION: <br /> Type of Ptoposed Sign: Size of Proposed Sig�: Proposed Materials: Proposed Illumination: <br /> � New Sig�Installation Sign Face Length: �� ❑ Wood ❑ Extemal <br /> �-► <br /> �Sign Alt�ration/ Sign Face Width: ❑ Plastic �lntemal <br /> Face Ch�nge � <br /> Total Square Footage:��� �e�� ❑ Indirect <br /> ( P�N) �i <br /> ❑ Other s � Top of Sign to Grade: �'� � Other(specify) ❑ Other(specify) <br /> Distance from Bottorz► // <br /> ' ��� / <br /> of Sign to Grade: `�`r <br /> ' A Minnesota St�t�EI�CtriGal Permit is requ�red if electrical work is proposed. <br /> �'71�1�1 V� � n l� p �- �(,C� <br /> � <br />