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City of Orono roraianuxuary ki<0iI ,�Ur
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<br /> 'cA P.O.Box 66 Date Received i f)--'-/-C CO �"";`,1..-i,..._ 1 2750 KelleyParkwayPermit# , /0 472-0 � o, -
<br /> Building Approval:
<br /> �0j �*t`; Crystal Bay,MN 55323
<br /> q.: Zoning Approval (,
<br /> 4� rs/ (952)249-4600 Zoning District:
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<br /> CITY OF ORONO- SIGN/ GENERAL PERMIT
<br /> 01
<br /> (All permits must be approved by the Building Official and the Zoning Department) Iii�tAi iU
<br /> Job Site/Owner Information 2 2,M
<br /> Site Address: r.\Lp. ' e,\(Z _c�Nc,�.37\v c� Email:
<br /> Owner: C 1 `�� ;-1 Home Phone:
<br /> Mailing Address: x , c-..,t-z_r.,,,---%(,, aN,r _ Work Phone: RS .. . p�--ASA
<br /> City,State, Zip: \ .-.,c-\L L,.�� -r� Fax:
<br /> Contractor/Applicant Information
<br /> Contractor/Applicant: wc.,E -,\,(S\c\r, State License#:
<br /> Address: 3\�e�h e____A-.?, - 2 \ �\ Expiration Date:
<br /> City, State, Zip: ,�.\- ,,,N_c\\ y- Contact Person: ---.,(\c'\ \\'•11-i;.\t-,N�,r\1
<br /> Business Phone: ,Nsi, _ ..,7(.,,_ 3\%k Contact Phone: _--1 3 __3\S'(
<br /> Fax: . •\,„`•\4.,_ �.c \ct Email: ��.t. c.f.,. c :•,. ., c.\�.r-,c .( car!`
<br /> Permit Type& Sign Information
<br /> All work is to be done per UBC Estimated Cost S \� „ *Minimum permit fee=535.00
<br /> Work Intended: Sign Installation: )( Sign Alteration/Face Change:
<br /> (Check One) Temporary Sign: (Flat Fee) Dates sign will be displayed: /to-----
<br /> Sign
<br /> ✓Sign#1: � •
<br /> Sign Face Length: � c' Sign Face Width: / Total Square Footage: Lc 4_
<br /> �- {{{
<br /> Top of Sign to Grade: \V Distance from bottom of sign to grade: D
<br /> Materials: Wood _ Plastic _ Metal _ Other:
<br /> Illumination: External — Internal Indirect ` Other: c-, Sir\� sr.,,,,,,,,-..e,\-...s.‘,.... •
<br /> Sign#2:
<br /> Sign Face Length: Sign Face Width: Total Square Footage: '
<br /> Top of Sign to Grad-• Distance from bottom of sign to grade:
<br /> Materials: W.41 Plastic Metal _ Other:
<br /> Illuminatio ' External _ Internal Indirect Other
<br /> ____
<br /> *Attach a•%itional 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: I10 Number of Signs:
<br /> TEMPORARY SIGNS:
<br /> • No more than 4 temporary sign permits may be issued per calendar yeas for not more than 10
<br /> consecutive days (including weekends).
<br /> • No single sign shall exceed 32 square feet.
<br /> Z'd d60:£0 90 i70 l°O
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