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, i C■ Item#08-CC Agenda-07/25/2016 <br /> ity of Orono ExhibitB(Pagelof2J <br />� Permanent Sign Permit App�ication <br /> 1"''A?O Mailing Address: Permit number. ��P��?�'7 <br /> t r PO BOX BB <br /> Crystal Bay.MN 55323-0OGG Date recsived: •L�i•I�I' <br /> S�ieet Address: Received by: <br /> �,� ��� 2750 Keiley ParkwaY Permit Fee: $50.00 per s�gn <br /> Orono, MN 55356 <br /> ��SHQ�'� <br /> Main: 952-249-4600 Fax: 952-249-481B wuuw.cf.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incom�lete applEcatlons wfll be returned. (Pleese print) <br /> GENERAL INFORMATION; <br /> SiteAddress: 2765 Kelley Pkwy, Orono, NIDT 55356 <br /> Street Frontage of Property Ke 11 ey Pkwy {feet) <br /> Size of Existing Sign: <br /> Exiatfng Matisriala: Existing Illumination: <br /> Sign Face Length: <br /> ❑ Wood ❑ F�demal <br /> Sign Face Width: <br /> ❑ Plastic ❑ Irrtemal <br /> Total Square Foatage: <br /> ❑ Metal ❑ Indirect <br /> ToP of Sign to Grade: <br /> ❑ Other(spediy) ❑ Other(speay) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER 1NFORMATION: <br /> Name: Kottemann OrthodontiCs <br /> P►ddress: 2765 Kelley Pkwy, Orono, NIIv 55356 City: Z(P: <br /> Cantact Person: aig o emann <br /> Phone: (763) 898-3518 <br /> Email and/or Fax kraig.kottemannt�gmail .com <br /> CONTRACTOR/APPLICANT: <br /> Name: Schad Tracy Signs <br /> Mailing Address: I 610 E Cl i f f Road City:Burnsvi l l e ZI P: 5 5 3 3 7 <br /> Contact Person: Rick Ballantyrxe <br /> Phane: 612-282-7655 cell rickb�schadtracy.com <br /> ""All work is to be done per AAinn�ota Building Cocie <br /> PRQPOSED 81GN INFORMATION: <br /> Type of Proposed Sign: 3ize of Proposed Sign: Proposed Maberials: Proposed llluminatlon: <br /> 48" <br /> �1 New Sign InstallaUon Sign Face Length: ❑ Wood ❑ Extemal <br /> ❑ 5ign A{teration/ Sign Faoe Widlh: 110" � plastic � Irrtemal <br /> Face Change <br /> Totai Square Footage: 3 6 . 6 � M� ❑ Indired <br /> ❑ Oifier(sP�Y) <br /> Top of Sign to Grade: 11 � ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom � � <br /> of Sign to Grade: , <br /> A Mtnnesota Stat�e Etectrfcal Permrt is�equired hF electrical work is proposed <br /> IIABrCh 2016 <br />