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City of Orono <br /> Permanent pp <br /> Sign Permit Application01 <br /> Mailing Address: Permit number: <br /> 'Qv PO Box 66 �p <br /> c ; 0 <br /> Crystal Bay,MN 55323-0066 Date received: q�-0 i! <br /> A �f Received b a t ei <br /> ` �. Street Address: y� <br /> 2750 Kelley Parkway Permit Fee: $ <br /> 9kESH04' Orono,MN 55356 <br /> 0 d v - , (A-x- �e v t e <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /7,R 5Y 0 <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: �� `) WA 2, ! Air`rAW 091',t✓ <br /> Street Frontage of Property (1): .5:( f,t/�,��;r :t �4;r t�t_; (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 /> Other(specify) Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: t'.(�AI P!l i'i'OVt r<<1t;.: /.r <br /> Address: 61-1 ell?jr/,".;.. �fr,i. j, ZIP: ` }'0� <br /> Contact Person: ��/lt;<yE:� <br /> Phone: 1 ; 7. .� <br /> Email and/or Fax <br /> j <br /> CONTRACTOR/APPLICANT: <br /> Name: NO fi, t" t����t47 C`rs:a�jr <br /> Mailing Address: _y/P,� -'27?", :x �t. ; City:Nl�l,e ZIP: , <br /> Contact Person: _ £5 F ICK <br /> Phone: �9S?_) �G�r� 61)Ild v <br /> Estimated Construction Value$ /Sf oyo * * 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 /> El"New Sign Installation Sign Face Length: ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: , [A Plastic/'t t };I ❑~IInternal <br /> Face Change <br /> Total Square Footage: >' [� Metal isft t ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ­14f�f a0 5 ( Other(specify) ❑ Other(specify) <br /> Distance from Bottom I 1 t <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />