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City of Orono For Staff Use Onty
<br /> � 04��'� P.O.Box 66 DateReceived ,3-�.S-o
<br /> 2750 Kelley Parkway Pe�� � b!7 Q3
<br /> o� Crystal Bay,MN 55323 Buildin8 ApProval:
<br /> � ��s�' (952)249-460 Zoning Approvat
<br /> � ���� Zoning District:
<br /> CITY OF ORONO- SIGN/ GENERA.L PERMIT
<br /> (All permits must be approved by the Building Official and the Zoning Department)
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<br /> Site Address: �.?(v� )�e I I e�� �a r� �/a v Email: �c cb .� .�+a--+ 4% c�c ,c.-r,,
<br /> Owner: �����css,a.,.�ll P��e�t'e: aF !'r�,-,�c, Home Phone: q -�{49_��ze (pr. d.� .�)
<br /> MailingAddress: g3� �,.}�n,,,��,;� iz,,� WorkPhone: 7G3-SS�-&�Zt�
<br /> Cifiy, State,Zip: u�o,�u' � PVJ n!� 353.5� F��
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<br /> Contractor/Applicant: NI�(,li��h �„5�.�u�.f-t0;� State License#:
<br /> Address: �� ([�0 8�'�R tzb Expiration Date:
<br /> City, State,Zip: M�ra►•,e-r-o n�cc�. M n( 5 53�3 Contaet Person: I A n �-I
<br /> Business Phone: �'j�;'}- �j,3- a�.3 7 Contact Phone: ���. - �1 a- ��a�
<br /> Fax: 9�3 - (,S'3 - ( o� o Email:
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<br /> All work is to be,done per UBC Esfimated Cost S �0"d, 60 *Minimum permit fee�$35.00
<br /> Work Intended: Sign Installation: �d Sign Alteration/Face Change: _
<br /> (check one) Temporary Sign: _ (Flat Fee)
<br /> + � SiQn#1: ,,
<br /> �x� �Siga Face Length: t�� Sign Face Width: �'�4�Z Total Square Footage: f.1.5
<br />���� Top of Sign to Grade: ��`' Distance from bottom of sign to grade: �y
<br /> Materials: Wood Plastic ?4 Metal �d Other:
<br /> 1,��� Illumination: Extemal Internal � Indirect _ Otlier:
<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 /> Tllumination: E�emal Internal Indirect Other
<br /> *Attach additional sheets if necessary .
<br /> Please Note: A Minnesota State Electrical Permit is re uired if electrical work is ro osed.
<br /> List Signs to be Removed(if any):
<br /> Square Footage: Number of Signs:
<br /> TEMPORARY SIGNS:
<br /> • No more than 4 temporary sign permits may be issued per calendaz year for not more than 10
<br /> consecutive days (including weekends).
<br /> � No single sign shall exceed 32 si�uare feet.
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