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. City of Orono <br /> Permanent Sign Permit Application <br /> �O�O Mailing Address: Permit number: �.�f S—�� � <br /> PO Box 66 ( �' <br /> Crystal Bay, MN 55323-0066 Date received: � �jS�L� <br /> Street Address: W" ��lj Received by: <br /> y� G� 2750 Kelley Parkway� � ��1 Permit Fee: � <br /> `�kfSH��� Orono, MN 55356 )b � <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � ' � '�� <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) � p�3,9 <br /> 0 <br /> GENERAL INFORMATION: <br /> Site Address: 2C,�7 CpvN�ry �� � <br /> Street Frontage of Property �"�Q � (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> �Needs replacing Sign Face Length: ❑ Wood ❑ E�ernal <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: �j�l�J/T'� �UT��'?Zi�'�t1 C-�l�(J.�Gh� <br /> Address: O 6 vN � City: Q�q,v p ZIP: �,'S'S (� <br /> Contact Person: ��'�lSb�/ <br /> Phone: �/�- 308 -l0087 <br /> Email and/or Fax j•y�,(� t Er1Soi►��1 c���/�Coir! <br /> _.. r <br /> CONTRACTOR/APPLICANT: <br /> Name: ,S ,c,� ,�ptJ,P_GE- <br /> Mailing Address: �GGO QV���� ����r City: ���,-�j ZIP: ���� <br /> Contact Person: G',�-C ��jv��� <br /> Phone: � -9(�_ c�� 3� <br /> Estimated Construction Value$� � * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: � <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> � n <br /> � New Sign Installation Sign Face Length: lo '9 ❑ Wood ❑ External <br /> i ,, <br /> ❑ Sign Alteration/ Sign Face Width: 2'g ❑ Plastic � Internal <br /> Face Change Q <br /> Total Square Footage: O. �0 5 , � Meta� ❑ Indirect <br /> ❑ Other(specify) , ,� <br /> Top of Sign to Grade: �'�c ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom � .. <br /> of Sign to Grade: Z"� <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />