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. - -- City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: h C,�5.��OCY <br /> ���� PO Box 66 Permit number: ,�- <br /> � Crystal Bay, MN 55323-0 6 Date received: � '� �'"� � <br /> ( Street Address: I Received by: "� <br /> . ` 2750 Kelley Parkw ��I�� Permit Fee: $ <br /> F �' Orono, MN 55356 � �/ <br />' ��kESH��j � �/r-�f � �j� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ����� � <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: �/� �3�� <br /> Site Address: �� ���,�� yG�����D4� <br /> Street Frontage of Property �5 �/�����7 �-� ,�,–��— (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottorn <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: �df�C��%%Oi-�C.J <br /> Address: ���� l � �.�/'G��C(�,r�,/ City: � v ,�y[,�IP: �j � <br /> Contact Person: �J�,���U� r��,c-��f��. <br /> Phone: --� •— .���'� <br /> Email and/or Fax ,��]'U� G1 Q,�f✓C; , �11 . L�S �'�-� <br /> CONTRACTOR/APPLICANT: <br /> Name: ��-�' �i <br /> Mailing Address: �`����,!/���'yyJ�,,�/� ��) City;� P: `v1�/l/ ��-�' <br /> Contact Person: ��,�� ���, <br /> Phone� �����"'-Q��G <br /> Estimated Construction Value$�� ��� * "All work is to be done per IBC <br /> � <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> l <br /> �New Sign Installation Sign Face Length: � ❑ Wood ❑ E�Rernal <br /> r <br /> ❑ Sign Alteration/ Sign Face Width: � � Plastic �internai <br /> Face Change <br /> Total Square Footage: � � Metal ❑ Indirect <br /> ❑ Other(specify) / <br /> ��� � Top of Sign to Grade:�_ ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom / �` � �� ���"�'��' <br /> of Sign to Grade: � ��M� <br /> QT`���� �'�'" , <br /> A Minnesota Sfate Electrical Permif is required if electrical work is proposed. <br />