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iPR-c6-21710 86:558 FROrl:CEFFRE INTERIORS 9524732846 TO:92494616 P.2 City of Orono \110 11D Permanent Sign Permit Application Mailing Address: Permit number: w- oo,;�7 .¢,D,�O PO Box 66 O Crystal Bay, MN 55323-0066 Date received: d Street Address: Received by: 2750 Kelley Parkway Permit Fee: $ BH��G Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.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: D /J Site Address: 6 97 rj W, WA Z dd,_ T�f'(fAG Street Frontage of Property We6f wc-i Kinc. A/ild (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 Other(specify) Top of Sign to Grade: � (dE] Other(specify) E3 Other(specify) _14 Distance from Bottom �(^ of Sign to Grade: OWNER INFORMAY01 ON: -- //�� Name: hL4a-IC e Address: tsi City: ZIP: Contact Person: Phone: Email and/or Fax , /r'1 5 0)' d CONTRACTOR/APPLIC NT: Name: -ee-&Ys _ Mailing Address: City: Q ZIP: _S Sas Contact Person: Phone: '� - -3- a Y GrS GDM q o0 Estimated Construction Value; qor 7 ' All work is to be done per IBC PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: I /I [ New Sign Installation Sign Face Length: Y �0 pp Wood rCS�5 ❑ External ❑ Sign Alteration/ Sign Face Width. Plastic ej 5 n ❑ Internal Face Change Total Square Footage: ❑ Metal ❑ Indirect ❑ Other(specify) s Top of Sign to Grader ❑ Other(specify) l j�Other(specify) Distance from Bottom of Sign to Grade: O+ A Minnesota State Electrical Permit is required if electrical work is proposed.