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' City of Orono \/10 <br /> Permanent Sign Permit Applicatio <br /> Mailing Address: Permit number: c7Wq D0 7 LIT <br /> O'Qv O �O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: �� Q <br /> A isA. Street Address: Received by: <br /> 2750 Kelley Parkway Permit Fee: $ <br /> ��9kOg4' Orono, MN 55356 <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) <br /> GENERAL INFORMATION: / <br /> Site Address: bas W, �Gt /Zc1 , -� J <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ElMetal ElIndirect <br /> El 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: <br /> Address: Z60,5-- L4 City: <br /> Contact Person'. C� <br /> Phone: A5_Z - SZ(3-C)7e3 U <br /> Email and/or Fax C&,,O.c� , b i dJ G <br /> CONTRACTOR/APPLICANT: <br /> Name: <br /> Mailing Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> Estimated Construction Value$ j Y- ZO k_— * 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 /> -New Sign Installation Sign Face Length:_ ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: �1 ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 2etal E] Indirect <br /> El Other(specify) - <br /> Top of Sign to Grade: ❑ Other(specify) Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />