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City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: c�0102 OD SSS <br /> O�O, O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: ^�9C-1 Z-. <br /> Received by: tl3 J <br /> Street Address: <br /> 2750 Kelley Parkway Permit Fee: $ <br /> lyx�sso¢*v 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) <br /> GENERAL INFORMATION: <br /> Site Address: �,7d­!5- tA)A �Z 14-7 A- 13)(AmP, <br /> Street Frontage of Property ::5,01Z -50—e PIAN A go"" (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: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> Other(specify) <br /> Other <br /> ��� Top of Sign to Grade: El Other(specify) ❑ Other(specify) <br /> N Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: h,� <br /> Name: -Tr:O /x'11 N1 ST aA,6/i- <br /> Address: W Y;Z a�} ��' City: ZIP: <br /> Contact Person: M'- <br /> Phone: 47 j <br /> Email and/or Fax PmC-51-� �/ c y <br /> CONTRACTOR/APPLICANT: <br /> Name: ��a_MI LA,M L.L,G <br /> Mailing Address: 0370 PO-4e-4 CAP_ City: ZIP: <br /> T <br /> Contact Person: E RiFoR/c-k—so,,) <br /> Phone: �� _ 470 i'V34) <br /> Estimated Construction Value$ 8r 600 041 *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: 4fffA00V1A Vtil6Nr7— SIG/V <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> New Sign Installation Sign Face Length: ITT"t ❑ Wood ❑ External <br /> i Lrt <br /> ❑ Sign Alteration/ Sign Face Width: R Plastic W Intemal <br /> Face Change <br /> Total Square Footage:. Metal ❑ Indirect <br /> El Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom n <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> L,ALi- 516 A) : 39 'X39-S"' 85' 3' S FE- '01k 460. <br />