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City of Orono <br /> Permanent Sign Permit Application / <br /> Mailing Address: Permit number: a.O/O-00 7'15 <br /> O �O Cr Box 66 <br /> °;-.--Ct:\ Crystal Bay, MN 55323-0066 Date received: ll/Al/o <br /> .-=3.c.,-,‘,,_ Received by: <br /> ,� -,‘ - �, Street Address: <br /> ��, �7 �; O~ 2750 KelleyParkwa $ 93,5D <br /> Z f A,toi Orono, MN 55356 y Permit Fee: <br /> 4kiessoe• <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us E.4- /7 <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Pleaseeprint) <br /> GENERAL INFORMATION: � � ' V Va c-�`f 1�'i V <br /> Site Address: •v <br /> Street Frontage of Property Wil I j (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> Needs Alteration/ Sign Face Width: '5g1, Plastic 'Vi.Internal <br /> ace Change <br /> Total Square Footage: El Metal ❑ Indirect <br /> ❑ Other(specify) <br /> C/Ilf\NI <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> 610 S , of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: D1-4e DHeili i r 1 S _ <br /> Address: (7.255D co GiJ'c 7,4-7.1, .L/���. City: (.oii.tf Z4� ZIP: 3 S (. <br /> Contact Person: --J0 k r\ O' gt (\,,..4 J <br /> Phone: — <br /> 95� �7 3 - � 4;1 5 <br /> Email and/or Fax J ; ore iily e_,416-03 • c;Y•y, <br /> CONTRACTOR/APPLICANT: <br /> Name: S:ciA4 S ) gu2 <br /> Mailing Address: C3 , Ltd_ -( Fllaci , City: Walz ,` ZIP: j5.3 ii <br /> C..� <br /> Contact Person: "Ze �Q.f,'e_,c4;S I. <br /> Phone: 95 40q-- © <br /> Estimated Construction Value$ ,Z3 S2 . FJ * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> ❑ New Sign Installation Sign Face Length: ❑ Wood 0 External <br /> Si•n Alteration/ Sign Face Width: `pl Plastic X,Internal <br /> ace Chang- <br /> \w- Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />