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�r <br /> s <br /> City of Orono <br /> Permanent Sign Permit Application <br /> A, Mailing Address: <br /> PO Box 66 Permit number: Q / ►Q <br /> Crystal Bay,MN 55323-0066 Date received: AQ -13 <br /> StreetAddress. Received by: <br /> ti` G 2750 Kelley Parkway Permit Fee: <br /> �rK4sHo�� Orono,MN 55356 <br /> Main: 952-249-4600 Fax: 952-2494616 www.ci.orono.mmus <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: ;97,1? <br /> Street Frontage of Property / (feet) <br /> Existing Sign: Size of Existing Sign: <br /> t Si�gn:: Existing Materials: Existing Illumination: <br /> ❑ <br /> —t', , <br /> Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ration! Sign Face Width: f r K V j� Plastic (Internal <br /> Face Change '"� <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> Other(specify) I <br /> Top of Sign to Grade:-- !W ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom /I <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: <br /> Address: 7 City: ZIP: <br /> Contact Person: <br /> Phone: <br /> Email and/or Fax <br /> CONTRACTOR f APPLICANT: <br /> Name: u6��Ti di Zc7�ii`¢� <br /> Mailing Address: 4y.L City: ,� ZIP: <br /> Contact Person: <br /> Phone: 60/rtes .-S� <br /> crEJ <br /> Estimated 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 /> ❑ New Sign Installation Sign Face Length: N ❑ Wood ❑ Extemal <br /> i <br /> Sign Al te Sign Face Width: Alt�� �' Fd Plastic 0Intemal <br /> ce hange I <br /> Total Square Footage:_ ❑ Metal ❑ Indirect <br /> ❑ Other(specify) f <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 electdcal work is proposed. <br /> L-d d9b:ZObL £L loo <br />