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� <br /> 0 City of Ol'On0 S For Staff Use Only <br /> , �' � � �� Date Received ; r�� -C --I <br /> '' O , O P.O. Box 66 '� : <br /> ��,�. 2750 Kelle Parkwa � `. 7,�I Permit# '� �i�7_�1�� <br /> a �a`�� ,, Y Y � (I -� . <br /> � �}�� � Cr stal Ba MN 55323 Building Approval: <br /> ��'�.;�,,$� Y Y� �t� Zoning Approval <br /> �aeso$ (952)249-4600 ��.�y' Zoning District: �/ h� �� <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 /> Site Address: ; ;�,5 �����r`� f�a r k Wa v EmaiL• �y�h .�z a;2}-;_, � <L c j,c�..,.-, , <br /> Owner: j�,-o�Fc ss,o„�,'� ���,�c��t�es �'F �.��i� Home Phone: (S -'f�F9-`�oz c (P r . �3.t • ��) <br /> MailingAddress: g3� (�;�-�,,�n„�„�,Q �Z�;� WorkPhone: 7G3-58s� -�s�Zc.:. <br /> City, State, Zip: C_>::,,,�, ��✓rJ ��= C-�_ Fax: <br /> � <br /> Contractor/Applicant Information <br /> Contractor/Applicant: Iv1 e (' u��'hti C��s��uc tZa� State License#: <br /> Address: ( '.. �(�p P�('z r� Rp � Expiration Date: <br /> City, State, Zip: (V��N n+ ��-�-o n k� f�'1�f S s3�,3 Contact Person: (�r;�,�� ;,� � <br /> Business Phone: �j 5� - �j a 3 - a a� 7 Contact Phone: ��� - �a a - a 3� ? <br /> Fax: �%i 3 - (.", 5"'� - ( c�i c Email: <br /> Permit Tv e & Si n Information � � � <br /> All work is ta be done per UBC Estimated Cost $ \�� �c.'U, vU "Minimum permit fee=$35.00 <br /> Work Intended: Sign Installation: �4 Sign Alteration/Face Change: _ .�� S �. <br /> (Check one) Temporary Sign: (Flat Fee) <br /> , g�, <br /> U� <br /> '` lAQrf� 'TD t�' <br /> ,� 1��. Si n #1: � <br /> ��X ,��� Sign Face Length: s�o� � Sign F�r�e Width: ��4��� Total Square Footage: `l� .�� <br /> ���M� Top of Sign to Grade: ��-fj f 7i�j Distance from bottom of sign to grade: �Fr <br />� �, Materials: Wood Plastic ?Gf Metal �Q Other: <br />� �1� Illumination: Extenial Intenial j� Indirect Other: <br />� — — <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 Internal Indirect Other <br /> *Attach additional sheets if necessary <br /> Please Note: A Minnesota State Electrical Pennit is re uired if electrical work is ro osed. <br /> List Sig11s 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 calendar year for not more than 10 <br /> consecutive days (including weekends). <br /> • No single sign shall exceed 32 square feet. <br /> -over- <br />