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City of Orono <br /> Permanent Sign Permit Application <br /> �A, Mailing Address: <br /> 'VO PO Box 66 Permit number: <br /> Crystal Bay,MN 55323-0066 Date received: / •/ <br /> A. Street Address: Received by: <br /> ?� A. 2750 Kelley Parkway Permit Fee: $ <br /> `gktSHo4E Orono,MN 55356 ((�� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J/ <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: � �� ��y ,��`Q �3Z <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: _ ❑ Woad <br /> ❑ External <br /> Needs n! Sign Face Width: �lasticXX Intimal <br /> aoerunarige <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 INFORMATION: '''' <br /> Name: LT rw <br /> Address: <br /> City: ZIP: <br /> Contact Person: <br /> Phone: <br /> Email and/or Fax <br /> CONTRACTOR I APPLICANT: <br /> Name: :.t, GrA�lr�ll� lj7/Pll�- <br /> Mailing Address: City: 1` sv,�¢ ZIP: <br /> Contact Person: <br /> Phone: <br /> Esdmated Construction Value$ *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 /> 1 <br /> ❑ New Sign Installation Sign Face Length: 3 ❑ Wood ❑ External <br /> t <br /> Si n Sign Face Width: Plastic Internal <br /> ❑ Other(specify) <br /> aceA�ae <br /> Total Square Footage:_•_OLL_ ❑ Metal ❑ Indirect <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 /> {,d dLt,:Z0 b I,E L loo <br />