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r �-, � <br /> ' City of Orono �-� For Staff Use Only <br /> ���������� P.O. Box 66 � Date Received '- �'�'-�1�����% ���- <br /> ' 'O" � �`�� 2750 Kelley Parkway Permit# � ' (!� JJ� 5� <br /> � ��. /�� 1 <br /> t ;�, i,�t"• � �'� Crystal Bay, MN 55323 ��' ��,(� Building Approval: �f� � <br /> t fI'`+` ' ��(��'� Zoning Approval � <br /> ���� (952)249-4600 � y• � <br /> =-- V `Loning District: / <br /> CITY OF ORONO- SIGN/GENERAL PERMIT <br /> (All permits must be approved by the Building Official and the Zoning Department) <br /> Job Site/Owner Information <br /> SiteAddress: �( Email: •5-4-•G�,�S,����,�a„� �j� <br /> Owner: � (�J Home Phone: s <br /> MailingAddress: $ ina(�< WorkPhone: ��2� �}�3.��(�� �f <br /> �� , <br /> City, State, zip: prorw l�llU �531� Fax: ��.r,�'p � � <br /> Contractor/Applicant Information � <br /> Contractor/Applicant: State License#: Q�33�� <br /> Address: 6 . Expiration Date: 3 <br /> City, State,Zip: ��1{l� Contact Person: <br /> Business Phone: (, - �{ • '7�j( Contact Phone: ' ( <br /> Fax: (�l`Z • �j�"�'• 1�0�—¢� Email: Cc_ G���`0 �C_��a �!��c�hbo. Gon� <br /> Permit T e & Si n Information <br /> All work is to be done per UBC Estimated Cost $ �q,ppp *Minimum permit fee=$35.00 <br /> Work Intended: Sign Installation: �( Sign Alteration/Fac hCe na ge: <br /> �cn��k one) Temporary Sign: (Flat Fee) Dates sign will be displayed: to <br /> Si�n#1: <br /> Sign Face Length: ����h�� Sign Face Width: �{�p �� Total Square Footage: qc(.ZS �� <br /> Top of Sign to Grade:���pZ 6 r Distance from bottom of sign to grade: -z�-(o r' <br /> Materials: Wood c� Plastic Metal Other: 5-�-�n,..C� <br /> [Ilumination: External � Internal _ Indirect � Other: <br /> Si�n#2: <br /> Sign Face Length: Sign Face Width: Total Square Footage: <br /> Top of Sign to Grade: Distance from bottom of sign to grade: <br /> Materials: Wood Plastic Metal Other: <br /> Illumination: External [nternal Indirect Other <br /> *Attach additional sheets if necessary <br /> Please Note: A Minnesota State Electrica] Permit is re uired if electrical work is ro osed. <br /> List Signs to be Removed(if an ): <br /> Square Footage: Number of Signs: j <br /> TEMPORARY SIGNS: <br /> • No more than 4 temporary sign permits may be issued per calendar year for not more than 10 <br /> consecutive days (including weekends). <br /> • No single sign shall exceed 32 square feet. <br /> -over- <br />