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City of Orono For Staff Use Only <br /> OV P.O. Box 66 Date Received <br /> N411: <br /> 2750 Kelley Parkway Permit# <br /> Crystal Bay,MN 55323 EEE <br /> g AvalApal Xew-- -q-al <br /> sxo (952)249-4600 : <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: 7.3e-49 Gr/Gc/y -.' l��&-,17 Email: /4%l`F 6y)l9aZiav//l a te, <br /> Owner: "76-7,,e1( Home Phone: 76Y/&7s--3& 77 <br /> Mailing Address: 70 f -57-e-- Ro, Work Phone: .? ,>—,52/V o cei- 6 <br /> City, State, Zip: / _ ' — — Fax: /1l/j' <br /> e-V ,<7A/ <br /> Contractor/Applicant Information` <br /> l(7.77/yr-Ai- --p 7c--/ <br /> Contractor/Applicant: //e--71,,,,t," /r4,44-7c FCviccJ State License#: <br /> Address: 70/ c��-�,c / N Expiration Date: <br /> City, State, Zip: 7///"f7 /1/./7,--y,.77 Contact Person: G45--,,F' 27z,seu.c <br /> Business Phone: 7 4.,,34y/7 - y/94 Contact Phone: c /Yay- <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 /> _ <br /> Work Intended: Sign Installation: SignAlteration/Face Change: <br /> (Check One) Temporary Sign: ityllat Fee) <br /> Sign#1: 1 <br /> Sign Face Length: L1 Sign Face Width: �, Total Square Footage: <br /> Top of Sign to Grade: Distance from bott9m 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 /> -over- <br />