Laserfiche WebLink
City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: CIV/D-de), <br /> 0,°,� ‘ PO Box 66 <br /> Q 0 ,p Crystal Bay, MN 55323-0066 Date received: ���9/0 <br /> a a O\ Street Address: Received by: <br /> 1. �' �1� 2750 Kelley Parkway $ /Q� 5 <br /> v�^�li��� � Y Permit Fee: , <br /> t�gE$Ho¢w Orono, MN 55356 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) J r <br /> GENERAL INFORMATION: ��'_�` S�Lu� ( tal� <br /> Site Address: 2-3 (,u c�` Sl LJctyz��,T( Q, of <br /> Street Frontage of Property 7 (feet) W {�{ � <br /> � <br /> 101.6) U' <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATIO <br /> (-1171-123/ 51— <br /> ODN <br /> Name: . . 0„ . pL K,.l� C... f►ti, L -S( <br /> Address: ! cL \� City: ZIP: <br /> Contact Person: ar ,/-k. ( " <br /> Phone: ex - L <br /> Email and/or Fax 01.52_ — 4.17- 7Z3a <br /> CONTRACTOR I APPANT: <br /> Name: 16 , :-Nr\ 5n PWMailing Address: \ c", BI`I City: ZIP: <br /> Contact Person: If 5Anr, <br /> Phone: �_ 97-25_A7tfL/6 <br /> Estimated Construction Value$ /( Gtr' * All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: Sian,t <br /> Type of Proposed Sign: Size of posed Sign: Proposed Materials: Proposed Illumination: <br /> New Sign Installation Sign Face Length: J O / XWood V External <br /> ❑ Sign Alteration/ Sign Face Width:Z I IS-s Plastic Internal J)�l✓ <br /> Face Change /� l vvv <br /> Total Square Footage: l '►5 g Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: El Other(specify) ❑ Other(specify) <br /> Distance from Bottom ____^G ! netk����1i5 <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />