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r0ji; City of Orono For Staff se O Iy Of, <br /> � P.O.Box 66 Date Received /O ,2 0 7 �5 <br /> { � 11 2750 Kelley Parkway Permit# 4 1/5 <br /> \ J f' Crystal Bay,MN 55323 Building Approval: <br /> \Fn �. (952)249-4600 <br /> 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: 4t../l S , Email: 2 fv-NCLo <br /> \ ,� �{-� m <br /> k9✓OS. C-O <br /> Owner: a 3� la <br /> ,s , <br /> iij • J(,\Ai Za,{ 4._ \,Arc{ Home Phone: <br /> Mailing Address: ( G r i JA,1( M t,1 5 5 3 5 (0 Work Phone: el S c2 -LI 1 3•-S yd 5 <br /> City, State,Zip: Fax: °l 502 --(-1 -1 3 - -IQ 3 <br /> • - Contractor/Applicant Information <br /> fO'r T r t n i A-'• Lb- lrr• C.-k.ti2)'‘ , a 0(,O (y (-f. Al <br /> Contractor/Applicant: O4 r S . State License#: (-e-'J)l-a.ks? s .MI,/ SS 5 56, <br /> Address: a 3 5c.) l0 , Li 5(1_1_4 L 2 (act_1:\va Expiration Date: K -'5 4N: E Ve v-Sa--\ (o I),-$(r Jl-g3`l 3 <br /> City, State,Zip: L ttyit (D 1 tf >J 5 c,-.,5`., Contact Person: 'J ohA n i KIDA,li,. <br /> Business Phone: C(Sa _c-}-1 3_ j f a S Contact Phone: ct 5 d-cu 1 3 - S L-I �S <br /> Fax: Ci 5 a- LA 1-5 .--IA,,--.) Email: e-Ona:A C reAiennvus. ub,o-N <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: X (Flat Fee) Dates sign will be displayed: to <br /> sign#1: u / Sr t S a t <br /> Sign Face Length: / Sign Face Width: Total Square Footage: <br /> Top of Sign to Grade: f sign to grade: <br /> Materials: Wood l <br /> Illumination: External Com" Other: <br /> Sign#2: /^ ��&I '�� <br /> (a <br /> Sign Face Length: lL/ V`A JI,tV' Total Square Footage: <br /> Top of Sign to Grade: 11 ign to grade: <br /> ' Materials: Wood Plas 14164 <br /> /_ <br /> Illumination: External _ _ ....,erect Other <br /> *Attach additional sheets if necessa,y <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 />