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AL;C-26,- 009 06:05A FROM:CEFFRE INTERIORS 9524732846 TO:92494616 P.2 City of Orono Permanent Sign Permit Application Meiling Address: Permit number: D0q-L�as g. Og,O�O Cr Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Permit Fee: $ Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.a.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �1". ', Site Address: Ay �[/, Gl l`�R�l� A0164o Street Frontage of Property (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal Face Change Total Square Footage: ❑ Metal ❑ Indirect 4 Other(specify) Top of Sign to Grade' E] Other(specify) ❑ Other(specify) Kim Y4 h Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: r0 e4 ,w- LL Address: 4` City: {kiYlli ZIP: Contact Person: Phone: Email and/or Fax LIF CONTRACTOR i APPLICANT: �/ Name: ��e e A'ee Ors i'I� Mailing Address: ,� City: ZIP: S53 S- Contact Person: Phone: `Ot Estimated Construction Value S •All work is to be done per IBC PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials; Proposed Illumination: New Sign Installation Sign Face Length: ❑ Wood ❑ External ❑ Sign Alteration 1 Sign Face Width-.— ❑ Plastic %Internal Face Change El Indirect Total Square Footage:-15 - Metal ❑ Other(specify) Top of Sign to Grade:__ ❑ Other(specify) ❑ Other(specify) Distance from Bottom ►tJ v1 of Sign t rad ," /� A Minnesota State Electric Permit is required if electrical work is proposed.