Laserfiche WebLink
City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: 62D/4.1 -5OS'0 <br /> 4T PO Box 66 <br /> /TO 0 Crystal Bay, MN 55323-0066 IL Date received: 6//5.6.7/Z- <br /> w>:� >, Street Address: OA' <br /> Received by: S <br /> ''_ `- 2750 Kelley Parkway ( /Lt41 y $ <br /> Permit Fee: <br /> -1,....e.„/ Orono, MN 55356 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us C7?0&r -.- <br /> This <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: Ct 1 <br /> Site Address: ( 1 IQ C9-�! 2_ 01.--,' <br /> �- -t--- {�j�vr" . ' t a s <br /> Street Frontage of Property i (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: El Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: El Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: El 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: '<_V'a,lk.S - /AM 6-e-{Sr- . CCS, <br /> Address: --12_10 \'\)(2\- (- c leo?ee (2OoA ' City: ?)oo,mi,'yrs— ZIP: 55LI31 <br /> Contact Person: 1Ll.C.4 A y� :33,-\(k_e G— <br /> Phone: (c1 o2 c'y - 91-4 C <br /> Email and/or Fax <br /> CONTRACTOR/ PLICANT: <br /> Name: PC-C,�;4),_v-vA V S`-I w15 , rv-iC . <br /> Mailing Address: 2_77 �- ,.s\ 4ti-�r ' E-, City: \cu", ZIP: S 5(-)e-i9 <br /> Contact Person: l\3 avF= � <br /> -e \r- , <br /> Phone: �—j_� L.(`1. <br /> Estimated Construction Value$ a 3o(: - OC * * 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: 1. OD + ❑ Wood ❑ External <br /> El31 -- / �; <br /> Sign Alteration/ Sign Face Width: � p Plastic p Internal <br /> Face Change <br /> Total Square Footage: Z S 0 Metal ❑ Indirect <br /> El Other(specify) ; i <br /> Top of Sign to Grade: (.,c2 .--O 0 Other(specify) c El Other(specify) <br /> Distance from Bottom (3\b , 13V J� S <br /> of Sign to Grade: - <br /> A AilinnncntCt�te Clontrinl Dermit is rnniarniJ if elnrtrin.nl cainr4 is rirnnncnrl <br />