2016-00769 - sign on building - Laserfiche WebLink

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� City of Orono � � Permanent Sign Permit Application �O�O Mailing Address: Permit number: � �P'�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �Z.�•�� � Street Add►ess: Received by: � � 2750 Kelley Parkway Permit Fee: $50.00 per sign `� G Orono, MN 55356 t`�'�ES H�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: SiteAddress: 2765 Kelley Pkwy, Orono, MN 55356 Street Frontage of Property Kelley Pkwy (feet) Size of Existing Sign: Existing Materials: Existing Illumination: Sign Face Length: ❑ Wood ❑ Extemal Sign Face Width: ❑ Plastic ❑ Intemal Total Square Footage: ❑ Metal ❑ Indirect Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) Distance from Bottom of Sign to Grade: OWNER IAIFORMATION: Name: Kottemann Orthodontics Address: 2765 Kelley Pkwy, Orono, MN 55356 City: ZIP: Contact Person: raig o emann Phone: (763) 898-3518 Email and/or Fax kraig.kottemannc�gmail .com CONTRACTOR/APPLICANT: Name: Schad Tracy Signs Mailing Address: 1610 E Cl i f f Road City:Burnsvi l le ZIP: 553 3 7 Contact Person: Rick Ballantyne Phone: 612-282-7655 cell rickb@schadtracy.com **All work is to be done per Minnesota Building Code PROPOSED SIGN INFORMATION: Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: 48" �] New Sign Installation Sign Face Length: ❑ Wood ❑ External �� ❑ Sign Alteration/ Sign Face Width: 11 � Plastic � Intemal Face Change 3 6 . 6 Total Square Footage: [� Metal ❑ Indirect ❑ Other(specify) � Top of Sign to Grade: 11 ❑ Other(specify) ❑ Other(specify) Distance from Bottom � , of Sign to Grade: A Minnesota State E/ectrica/Permit is required if e/ectrica/work is proposed. March 2016