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V' '4City of Orono For Staff Use Only <br /> 1 P.O. Box 66 Date Received -U <br /> .. 2750 Kelley Parkway Permit 0 F o`�Cri <br /> 9 <br /> Crystal Ba MN 55323 Building Approval: �1 ./ <br /> n Y Y+ Zoning Approval /jI" Iii 6'4'6 <br /> (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: /fid (tet)-lt' ,¢j Email: <br /> Owner: `/ L��CeIZ Home Phone: <br /> Mailing Address: A4r .)<"6e- 4'2)( L/" Work Phone: �//2-7/ g o � <br /> City, State,Zip: A ripe AA/ Fax: <br /> Contractor/Applicant Information <br /> Contractor/Applicant: State License #: <br /> Address: Expiration Date: <br /> City, State, Zip: Contact Person: <br /> Business Phone: Contact Phone: <br /> Fax: Email: <br /> Permit Type & Sign Information <br /> All work is to be done per UBC Estimated Cost $ *Minimum permit fee=$35.00 <br /> Work Intended: Sign Installation: Sign Alteration/Face Change: <br /> (Check One) Temporary Sign: (Flat Fee) <br /> Sign#1:, <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 /> Illumination: External 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 /> 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 />