2015-00026 - free standing monument

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' - -- -- City of Orono _ _ __--- -- Permanent Sign Permit Application �O A rO Mailing Address: � C�� � �t �v PO Box 66 Permit number: ��5 � Crystal Bay, MN 55323-0 6 Date received: j '� �-"� Street Address: Received by: "� � S.F �� 2750 Kelley Parkw I��.� Permit Fee: $ tq �, O r o n o, M N 5 5 3 5 6 � 1�V ^ �ESH�j � —//�/ � � �j Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� Y This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATfON: �j�,7 3C� ' A Site Address: e7i''�,�� ,<��r Street Frontage of Property � �/aq/�j�,�c,� �� (feet) Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: ❑ Needs replacing Sign Face Length: ❑ Wood ❑ E�Rernal ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal Face Change Total Square Footage: ❑ Metal ❑ Indirect ❑ Other(specify) Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER INFORMATION: Name: ��:��,��(� Address: �`��(� P.�✓'c�,�i� City: C� ,�''C..� ,�yL�IP: �'l`-�' �- Contact Person: ��r�� i�� Phone: --� �-- �y� Email and/or Fax ,�}��'L�j �1�,��`✓C�, /�b , f�� CONTRACTOR/APPLICANT: Name: G� �� Mailing Address: �'��yQ�/� � City:,� P: �1�✓ls � - Contact Person: �f��;��-'�F Phone� ��'�"��"�'Qf�G Estimated Construction Value$�� ' " *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 r ❑ Sign Alteration/ Sign Face Width: � � Plastic �Internal Face Change Total Square Footage: � � Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade:�_ ❑ Other(specify) ❑ Other(specify) � `� �j�� _lLz.ub��, Distance from Bottom � / of Sign to Grade: ��vit� c�r�.,, �v=, A Minnesota Sfate Electrical Permit is required if e/ectrical work is proposed.