Laserfiche WebLink
r _ City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: /1I— 744-, <br /> �,0,,. PO Box 66 / <br /> 0 O Crystal Bay, MN 55323-0066 Date received: !?)7/// <br /> .4 ,` f' ' a, Street Addr- ' Received by: <br /> .n � h�C5I iii" O~ 2750 Kell_ Parkwa Permit Fee: $ <br /> LRkESHo�s Orono, M .5356 <br /> Main: 952-249-4600 Fa . 952-249-4:'6 www.ci. ono.mn.us <br /> This application form must e complet- in full and al required information must be submitted. <br /> Incomple applicati ns will be r: urned. (Please print) <br /> GENERAL INFORM TI' 1. <br /> Site Address: 'j/O ;110 D r' v Nov-1),, <br /> Street Frontage of P pe y , ej (feet) <br /> Existing Sign: Si of Exis g Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing ', Sign Face L: gth: ❑ Wood ❑ External <br /> ❑ N Alteration/ Sign Face W the ❑ Plastic ❑ Internal <br /> Face nge <br /> Total Square ootage: ❑ Metal ❑ Indirect <br /> ❑ Other(spe ) <br /> 'p of Sign , Grade: ❑ Other(specify) ❑ Other(specify) <br /> Dist. - .m Bottom <br /> of Sign to Grade: <br /> OWNER INFORM TION: <br /> Name: Lon Lake F-1 re Dep <br /> Address: 3'( W,flowN, City: QVuS <br /> 4) c) ZIP: 6-3 c Co <br /> Contact Person: ant 6, �e ('e4 1z •• Lake_. ic1 re Rel,e-P A cic <br /> Phone: 4$r2 . 1/ 3' (Y`7 --. <br /> Email and/or Fax Jtiyi (der / ?� p mall• CL�in <br /> CONTRACTOR/APPLICANT: _ `J <br /> Name: Z:ai i'n S , E /41- ZOl'l5c take Fll W e l ie�I Ssc7c_ <br /> Mailing Address: <br /> -3�c� zu.'l ow �r, /V city: CD rvn� ZIP: 6-6-3 S b <br /> Contact Person: ,i a me S G/C/2( <br /> Phone: 9A.--2-k 7- 3 -k'?-cl' <br /> Estimated Construction Value$ K CxY.) *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 /> ANew Sign Installation Sign Face Length: UC j V � i" ❑ Wood 1:11 External <br /> ❑ Sign Alteration/ Sign Face Width: C ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 130 ❑ Metal ❑ Indirect <br /> ❑ Other(specify) r r <br /> Top of Sign to Grade: "? r,sz Other /V <br /> (specify) ❑ xOttheer(specify) <br /> Distance from Bottom 5'fc*Ie- / <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> l I�‘I x, rj 1 1) M .ea oh <br />