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� City of Orono For Staff Use Only <br /> i ' g - \ P.O. Box 66 Date Received 1) <br /> Oft O 2750 Kelley Parkway <br /> Permit# k q �. (o7Co� i4 771 vb'G'7i3'f o (#7' <br /> 14, 11'! E Crystal Ba MN 55323 Building Approval: <br /> ' v y y' Zoning Approval <br /> <+ea�'o$/ (952)249-4600 <br /> Zoning District: °41d <br /> J �'o< CITY OF ORONO- SIGN / GENERAL PERMIT X c 3 5•c''2c-. = <br /> V S I (All permits must be approved by the Building Official and the Zoning Department) q V G-' <br /> Job Site/Owner Information <br /> Site Address: 9 3'7 0 ii,►,1L)e 4yzi9-TI 13z_v] Email: <br /> Owner: .L i iT F (117-7- ►v Home Phone: <br /> Mailing Address: PO Tic`f Ly Work Phone: 9..c.).-473-5?�, <br /> /• n • t'L. <br /> City, State, Zip: , 14 ✓tom' - 3 S7,-, Fax: <br /> Contractor/Applicant Information <br /> Contractor/Applicant: &E -It e-I -i fzi State License#: <br /> Address: , R 7L) W. ),¢12-64 7/4 f34.UA Expiration Date: <br /> City, State,Zi C Contact Person: ylG s' U/: 04-4.11/Zit 44 <br /> L <br /> Business Phone: �-4./7 3 - /3(b Contact Phone: <br /> Fax: e 6 . - 1-/73_ - '2.0f(.., 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: I, . (Flat Fee) <br /> Sign#1: <br /> Sign Face Length: Sign Face Width: 4 Total Square Footage: )1../ <br /> Top of Sign to Grade: Distance from bottom of sign to grade: <br /> Materials: Wood i/ 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 /> I <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 />