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/43-04* City of Orono For Staff Use Only <br /> ' f© O P.O.Box 66 Date Received <br /> K ( x l) 2750 Kelley Parkway Permit# pp <br /> C <br /> Crystal Bay,MN 55323 Building Approval: c(-(if—o c. 4`"a' <br /> �� (952)249-4600 Zoning Approval <br /> 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: 0233-0 4/ K &.,.-r , Email: <br /> Owner: 0612-14.. &U---4— Home Phone: <br /> Mailing Address: n,yt.e Work Phone: Fs? -47 3 —5zf as <br /> City, State,Zip: /-y)",/ Fax: <br /> Contractor/Applicant Information <br /> WaL kireyt.ko. die-.n.,L. <br /> Contractor/Ap licant:� State License#: <br /> Address: 0 6 7 Expiration Date: <br /> City, State,Zip: orv-yl t, 171,1/ Contact Person: <br /> Business Phone: (UJ Contact Phone: 95,2._(i 73 74?1,7 <br /> Fax: Email: .C&'S j/Q vi's 1 , C-0-1-+1 <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) Dates sign will be displayed: -/4 to /-c-`.' <br /> Sign#1: / ( <br /> Sign Face Length: 4Sign Face Width: ff Total Square Footage: 3a <br /> Top of Sign to Grade: Distance from bottom of sign to grade: "7 <br /> Materials: Wood _ Plastic _ Metal Other: "7 <br /> Illumination: External _ Internal _ Indirect _ Other: 2 <br /> (ek fd. -Fro rti De Ian a ke a l <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 /> -over- <br />