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j City of Orono For Staff Use Only <br /> /0 P.O. Box 66 Date Received <br /> +, 2750 Kelley Parkway Permit# <br /> ��` r Building Approval: <br /> i Crystal Bay,MN 55323 <br /> i , r ti Zoning Approval <br /> t'..' 1i:s (952)249-4600 Zoning District: <br /> CITY OF ORONO- SIGN/ GENERAL PERMIT <br /> (All permits must be approved by the Building Official and the Zoning Department) <br /> Job Site/Owner Information <br /> Site Address: 1 ip 0 0_ k.02:c.A. Bt id Email: <br /> Owner: uUov,;O.,v; S1noppkiAS. 1: ;1}.XL-(C`17%"°-`t-li+ al}ft2.Home Phone: <br /> Mailing Address: Work Phone: c 5a_ q Z 3 . /o t-t1 <br /> City, State,Zip: Fax: <br /> Contractor/Applicant Information <br /> Contractor/Applicant: AuaCa trila kS(5Y), State License#: '— <br /> Address: d\lpn ui tit q'zu. i?ilv"c1 Expiration Date: <br /> City, State,Zip: ' Contact Person: <br /> Business Phone: c\5, -y13 -1333 Contact Phone: <br /> Fax: �:5), .• 413- Thc\ Email: ( mn aG Ph SCS e intSo`m ,f 7\- <br /> , Permit Type& Sign-Information <br /> All work is to be done per UBC Estimated Cost $ .. W *Minimum permit fee=$35.00 <br /> Work Intended: Sign Installation: Sign Alteration/Face Change: 3' 5 .._—(22.j. <br /> (Check One) Temporary Sign: )( (Flat Fee) Dal-es <br /> _ cpa /ed.,a I.d <br /> Sign#1: 7 <br /> Sign Face Length: LI Sign Face Width: Total Square Footage: ,3c. <br /> Top of Sign to Grade: 1p Distance from ottom of sign to grade: <br /> Materials: Wood Plastic Metal Other: <br /> Illumination: External K Internal _ Indirect _ Other: <br /> Sign#2: <br /> Sign Face Length: Sign Face Width: Total Square Footage: <br /> Top of Sign to Grade: Distance from bottom of sign to grade: <br /> Materials: Wood _ Plastic Metal Other: <br /> _ _ <br /> Illumination: External _ Internal Indirect _ Other <br /> *Attach additional sheets if necessary <br /> Please Note: A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> List Signs to be Removed(if any): <br /> Square Footage: Number of Signs: <br /> TEMPORARY SIGNS: <br /> • No more than 4 temporary sign permits may be issued per calendar year for not more than 10 <br /> consecutive days (including weekends). <br /> • No single sign shall exceed 32 square feet. <br /> -over- <br />